Provider Information for 1629706825
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Mrs. ALISIA NICOLE QUIGLEY-HOLMBECK MSW, LCSW
Other Names:Former Name:Miss ALISIA NICOLE QUIGLEY MSWSex: Female
NPI: 1629706825
Last Updated: 2022-08-15
Certification Date: 2022-08-15
Certification Date: 2022-08-15
Details
| Name | Value | ||||||||
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| NPI | 1629706825 | ||||||||
| Enumeration Date | 2022-08-15 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 9364 E 1175TH ST GRANVILLE, IL 61326-9486 United States Phone: 815-343-2636 | Fax: | ||||||||
| Primary Practice Address | 1431 LOURDES RD METAMORA, IL 61548-7609 United States Phone: 815-343-2636 | Fax: | ||||||||
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