MINDY JANE MARION

CHAMPAIGN, IL
NPI1114016011
Former NameMINDY JANE SIMPSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2006-10-11
Last Update Date2007-07-08
Business Address
Mrs. MINDY JANE MARION QMHP
1801 FOX DR
CHAMPAIGN, IL 61820-7236
Phone number: 217-693-4575
Mailing Address
Mrs. MINDY JANE MARION QMHP
402 W CHURCH ST
VILLA GROVE, IL 61956-1113
Phone number: 217-620-6233
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