FABIAN BRICE CHURCHILL

CARBONDALE, IL
NPI1447055462
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  150.113927)
Enumeration Date2025-02-14
Last Update Date2025-02-14
Business Address
FABIAN BRICE CHURCHILL LSW
6360 OLD HIGHWAY 13
CARBONDALE, IL 62901-5449
Phone number: 815-557-1433
Mailing Address
FABIAN BRICE CHURCHILL LSW
11264 IL-37
MARION, IL, IL 62959
Phone number: 618-997-2129
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