Individual
CIARA ECHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 3RD ST, MOLINE, IL 61265-6106
(309) 779-3424
Mailing address
4600 3RD ST, MOLINE, IL 61265-6106
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NONE
—
IL
Enumeration date
03/23/2022
Last updated
03/23/2022
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