STACI LEE MCNICHOLL

CHAMPAIGN, IL
NPI1538490172
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2010-01-21
Last Update Date2010-01-21
Business Address
-- STACI LEE MCNICHOLL LCSW
809 W CHURCH ST
CHAMPAIGN, IL 61820-3320
Phone number: 217-373-1700
Mailing Address
-- STACI LEE MCNICHOLL LCSW
809 W CHURCH ST
CHAMPAIGN, IL 61820-3320
Phone number: 217-373-1700
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