TYLER KOONTZ

CHAMPAIGN, IL
NPI1649699786
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2014-04-15
Last Update Date2020-05-07
Business Address
TYLER KOONTZ LSW
309 W CLARK ST
CHAMPAIGN, IL 61820-4637
Phone number: 217-398-9066
Mailing Address
TYLER KOONTZ LSW
309 W CLARK ST
CHAMPAIGN, IL 61820-4637
Phone number:
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