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1518018639
DENISE RENEE CHILDRESS
CHAMPAIGN, IL
NPI
1518018639
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 150.010682)
Enumeration Date
2007-01-15
Last Update Date
2007-07-08
Business Address
Mrs. DENISE RENEE CHILDRESS MSW,LSW
202 W PARK AVE
CHAMPAIGN, IL 61820-3929
Phone number: 217-373-2430
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Mailing Address
Mrs. DENISE RENEE CHILDRESS MSW,LSW
3812 SUMMER SAGE CT
CHAMPAIGN, IL 61822-2008
Phone number: 217-693-3906
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