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Individual

CHRISTINE ANN MCCONKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW, LCPC

Contact information

Practice address
4017 ABERDEEN DR, CHAMPAIGN, IL 61822-8542
(217) 840-5938
Mailing address
215 EASTERN AVENUE, P.O. BOX 143, DE LAND, IL 61839
(217) 840-5938

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180006545
IL
104100000X
Social Worker
Primary
150007229
IL

Other

Enumeration date
06/13/2017
Last updated
06/13/2017
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