Thelma Jean Carpenter-ellis L.C.P.C.

NPI 1053527093 - Counselor - 101YP2500X

NPI Details
NPI 1053527093
Gender Female
Enumeration Date 05/15/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
16116 INVERRARY LN
BLOOMINGTON IL, 61704-5580, US
Phone (309) 662-5816
Fax
Business Location
16116 INVERRARY LANE
BLOOMINGTON IL, 61704, US
Phone (309) 662-5816
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State
License Number
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According to our database, Mrs. Thelma Jean Carpenter-ellis L.C.P.C. NPI is 1053527093, taxonomy code is 101YP2500X Thelma Jean Carpenter-ellis L.C.P.C. physically located at 16116 Inverrary Ln, Bloomington IL, 61704-5580. NPI Number Thelma Jean Carpenter-ellis L.C.P.C. has the Individual type.

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1053527093 NPI number is provided on an as is basis without warranty of any kind. 1053527093 is maintained by the National Plan & Provider Enumeration System. The contents of Thelma Jean Carpenter-ellis L.C.P.C. are for informational purposes only.