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1639489800
KELLY M. CHILDRESS
MATTOON, IL
NPI
1639489800
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-10-20
Last Update Date
2010-10-20
Business Address
-- KELLY M. CHILDRESS B.A.
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5700
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Mailing Address
-- KELLY M. CHILDRESS B.A.
750 BROADWAY AVE E
MATTOON, IL 61938-4610
Phone number: 217-238-5700
Copy
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