KEVIN JOSEPH ELLIOTT

CHAMPAIGN, IL
NPI1003395831
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149022425)
Enumeration Date2018-08-13
Last Update Date2021-04-30
Business Address
KEVIN JOSEPH ELLIOTT
1807 S NEIL ST
CHAMPAIGN, IL 61820-7215
Phone number: 815-878-5078
Mailing Address
KEVIN JOSEPH ELLIOTT
1807 S NEIL ST
CHAMPAIGN, IL 61820-7215
Phone number: 815-878-5078
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