Individual
DUANE MCKILLIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2128 N WELLINGTON DR, PEORIA, IL 61604-3042
(309) 696-7430
Mailing address
2128 N WELLINGTON DR, PEORIA, IL 61604-3042
(309) 696-7430
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
149-007616
IL
1041C0700X
Clinical Social Worker
Primary
149-007616
IL
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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