KENNETH GALEN QUEEN

PEORIA, IL
NPI1437481009
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: IL  180.006438)
Enumeration Date2010-02-08
Last Update Date2010-02-08
Business Address
MR. KENNETH GALEN QUEEN MED., LCPC
3020 W. WILLOW KNOLLS DR.
PEORIA, IL 61614
Phone number: 309-681-5652
Mailing Address
MR. KENNETH GALEN QUEEN MED., LCPC
3020 W. WILLOW KNOLLS DR.
PEORIA, IL 61614
Phone number: 309-681-5652
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