Individual
HOLLI CHURCHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
309 E ELM ST, MOWEAQUA, IL 62550-1018
(217) 264-6336
Mailing address
309 E ELM ST, MOWEAQUA, IL 62550-1018
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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