MILANA NICHELLE FOXWORTH

BELLEVILLE, IL
NPI1750010914
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.023202)
Enumeration Date2022-06-05
Last Update Date2022-06-05
Business Address
MILANA NICHELLE FOXWORTH
4230 OAK LN
BELLEVILLE, IL 62226-5520
Phone number: 618-580-2810
Mailing Address
MILANA NICHELLE FOXWORTH
4230 OAK LN
BELLEVILLE, IL 62226-5520
Phone number: 618-580-2810
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