MICKI L. HALLAM

CHAMPAIGN, IL
NPI1780734426
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-01-12
Last Update Date2007-07-08
Business Address
-- MICKI L. HALLAM b.s.
1801 FOX DR
CHAMPAIGN, IL 61820-7236
Phone number: 217-398-8080
Mailing Address
-- MICKI L. HALLAM b.s.
403 W ELLS AVE
CHAMPAIGN, IL 61820-6427
Phone number: 217-649-2253
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