CHARLES LUTHER UPCHURCH

BEARDSTOWN, IL
NPI1013400092
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-06-13
Last Update Date2018-06-13
Business Address
Mr. CHARLES LUTHER UPCHURCH RSA
121 E 2ND ST
BEARDSTOWN, IL 62618-1263
Phone number: 217-323-2980
Mailing Address
Mr. CHARLES LUTHER UPCHURCH RSA
121 E 2ND ST
BEARDSTOWN, IL 62618-1263
Phone number: 217-323-2980
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