Holly Conlin, | |
3248 Vandever Ave, Pekin, IL 61554 | |
(309) 347-5579 | |
Not Available |
Full Name | Holly Conlin |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 3248 Vandever Ave, Pekin, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528584257 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Human Service Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881630689 PECOS PAC ID: 6901896968 Enrollment ID: O20040513000449 |
Mailing Address | Practice Location Address |
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Holly Conlin, 3248 Vandever Ave, Pekin, IL 61554-6257 Ph: () - | Holly Conlin, 3248 Vandever Ave, Pekin, IL 61554 Ph: (309) 347-5579 |
Amanda Walner-cutright, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3248 Vandever Ave, Pekin, IL 61554 Phone: 309-347-5579 | |
Kylanne Briggs, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 804 Sheridan Rd, Pekin, IL 61554 Phone: 309-863-5454 | |
Mrs. Rebecca A Ala, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3248 Vandever Ave, Pekin, IL 61554 Phone: 309-347-5522 Fax: 309-347-4264 | |
Charles Clayton Wilcox, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 359 S Capitol St, Pekin, IL 61554 Phone: 309-620-0881 | |
Jacqueline M Kipfer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 337 Country Club Dr Apt B, Pekin, IL 61554 Phone: 130-939-7983 | |
Patricia Ann Kutyna, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6 S 4th St, Unit 1, Pekin, IL 61554 Phone: 309-346-2877 Fax: 309-346-7663 |