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1093376329
KATIE NEIDETCHER
PEORIA, IL
NPI
1093376329
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180011916)
Enumeration Date
2019-06-26
Last Update Date
2019-06-26
Business Address
KATIE NEIDETCHER LCPC
7210 N VILLA LAKE DR STE C
PEORIA, IL 61614-8290
Phone number: 309-713-1485
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Mailing Address
KATIE NEIDETCHER LCPC
PO BOX 10286
PEORIA, IL 61612-0286
Phone number: 309-713-1485
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