THEODIS JUNIOR HOLMES

WAUKEGAN, IL
NPI1326400045
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2016-03-22
Last Update Date2016-03-22
Business Address
THEODIS JUNIOR HOLMES
3010 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 847-377-6868
Mailing Address
THEODIS JUNIOR HOLMES
3010 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 847-377-6868
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