Individual
MS. KELLY LYNN HALCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
501 W CHURCH ST, CHAMPAIGN, IL 61820-8630
(217) 351-9744
(217) 351-9746
Mailing address
210 AVENUE C, DANVILLE, IL 61832-5410
(217) 442-3200
(217) 442-7460
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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