Individual
MRS. ELIZABETH MCQUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
1300 CHARLESTON AVE, MATTOON, IL 61938-4016
(217) 234-6405
(217) 258-6136
Mailing address
214 E WERNSING AVE, EFFINGHAM, IL 62401-4028
(217) 234-6405
(217) 258-6136
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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