Individual
MRS. KELLY NICOLE BEISSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1315 A CURT DRIVE, CHAMPAIGN, IL 61802-4736
(217) 352-5179
Mailing address
1315 CURT DR STE A, CHAMPAIGN, IL 61821-1168
(217) 352-5179
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/03/2012
Last updated
05/28/2014
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