THELMA JEAN CARPENTER-ELLIS

BLOOMINGTON, IL
NPI1053527093
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  180004926)
Enumeration Date2007-05-15
Last Update Date2007-07-08
Business Address
Mrs. THELMA JEAN CARPENTER-ELLIS L.C.P.C.
16116 INVERRARY LN
BLOOMINGTON, IL 61704-5580
Phone number: 309-662-5816
Mailing Address
Mrs. THELMA JEAN CARPENTER-ELLIS L.C.P.C.
16116 INVERRARY LANE
BLOOMINGTON, IL 61704
Phone number: 309-662-5816