ELLEN SUE KIESEWETTER

PEORIA, IL
NPI1710080320
Former NameELLEN SUE ANDRAE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: IL  180001071)
Enumeration Date2006-09-07
Last Update Date2007-07-08
Business Address
Mrs. ELLEN SUE KIESEWETTER LCPC
6615 N BIG HOLLOW RD
PEORIA, IL 61615-2451
Phone number: 309-692-6622
Mailing Address
Mrs. ELLEN SUE KIESEWETTER LCPC
6615 N BIG HOLLOW RD
PEORIA, IL 61615-2451
Phone number: 309-692-6622
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