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1619572138
LEANE MARIE KELLER
SPRINGFIELD, IL
NPI
1619572138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180.013100)
Enumeration Date
2020-12-02
Last Update Date
2020-12-02
Business Address
LEANE MARIE KELLER LCPC
614 N 6TH ST
SPRINGFIELD, IL 62702-5313
Phone number: 217-528-3694
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Mailing Address
LEANE MARIE KELLER LCPC
3228 MARS AVE
SPRINGFIELD, IL 62707-8511
Phone number: 217-899-0906
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