Individual
KELLY MICHAEL TURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
614 W HEALEY ST, CHAMPAIGN, IL 61820-5025
(217) 398-1658
Mailing address
614 W HEALEY ST, CHAMPAIGN, IL 61820-5025
(217) 398-1658
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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