THECLA A GAVIN

PEORIA, IL
NPI1851904874
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: IL  178.016210)
Enumeration Date2020-08-28
Last Update Date2020-08-28
Business Address
THECLA A GAVIN MAC, NCC, LPC
330 SW WASHINGTON ST
PEORIA, IL 61602-1406
Phone number: 309-676-2400
Mailing Address
THECLA A GAVIN MAC, NCC, LPC
330 SW WASHINGTON ST
PEORIA, IL 61602-1406
Phone number: 309-676-2400
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