KAYLA NEISEN

BOWEN, IL
NPI1730606443
Former NameKAYLA WINTERS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: IL  904011)
Enumeration Date2017-08-23
Last Update Date2018-03-17
Business Address
KAYLA NEISEN NCSP, SSP
607 N WORRELL ST
BOWEN, IL 62316-1048
Phone number: 217-842-5236
Mailing Address
KAYLA NEISEN NCSP, SSP
PO BOX 215
AUGUSTA, IL 62311-0215
Phone number: 217-392-2125