JEANIE MICKELSEN

CHAMPAIGN, IL
NPI1710510136
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2020-02-13
Last Update Date2020-02-13
Business Address
JEANIE MICKELSEN LCPC
1802 S MATTIS AVE
CHAMPAIGN, IL 61821-5923
Phone number: 217-383-1850
Mailing Address
JEANIE MICKELSEN LCPC
611 W. PARK ST. FAPC
URBANA, IL 61801
Phone number:
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