Individual
MRS. CHRISTINE JOY MICHELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1303 BALLYSHANNON DR, BLOOMINGTON, IL 61704-4113
(390) 664-7962
(309) 664-7962
Mailing address
1303 BALLYSHANNON DR, BLOOMINGTON, IL 61704-4113
(390) 212-2442
(309) 664-7962
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.011471
IL
Other
Enumeration date
12/20/2007
Last updated
03/19/2012
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