STACI LEE MCNICHOLL

CHAMPAIGN, IL
NPI1538490172
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149010173)
Enumeration Date2010-01-21
Last Update Date2025-01-18
Business Address
STACI LEE MCNICHOLL LCSW
201 W SPRINGFIELD AVE STE 1201
CHAMPAIGN, IL 61820-6385
Phone number: 217-722-9079
Mailing Address
STACI LEE MCNICHOLL LCSW
201 W SPRINGFIELD AVE STE 1201
CHAMPAIGN, IL 61820-6385
Phone number: 217-722-9079
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