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1184798753
EVONNE M. KUCKUCK
EDWARDSVILLE, IL
NPI
1184798753
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Former Name
EVONNE M. JENKINS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180-004352)
Enumeration Date
2006-11-17
Last Update Date
2007-07-08
Business Address
Mrs. EVONNE M. KUCKUCK LCPC, ATR
910 N MAIN ST
EDWARDSVILLE, IL 62025-1116
Phone number: 618-659-8787
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Mailing Address
Mrs. EVONNE M. KUCKUCK LCPC, ATR
9 JASON DR
GLEN CARBON, IL 62034-3052
Phone number: 618-659-8787
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