NICOLE LYNN EKISS

DECATUR, IL
NPI1134734221
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.022447)
Enumeration Date2020-09-15
Last Update Date2020-10-07
Business Address
NICOLE LYNN EKISS LCSW
1170 E RIVERSIDE AVE
DECATUR, IL 62521-3566
Phone number: 217-387-3625
Mailing Address
NICOLE LYNN EKISS LCSW
1615 RIDGEWOOD CT
MOUNT ZION, IL 62549-1136
Phone number: 217-853-4410
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