CARLA EVONNE BOUC

BELLEVILLE, IL
NPI1801919022
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: IL  180013435)
Additional Taxonomies222Q00000X Developmental Therapist
Enumeration Date2007-04-10
Last Update Date2021-02-23
Business Address
Mrs. CARLA EVONNE BOUC
812 S VIRGINIA AVE
BELLEVILLE, IL 62220-3689
Phone number: 618-236-2482
Mailing Address
Mrs. CARLA EVONNE BOUC
812 S VIRGINIA AVE
BELLEVILLE, IL 62220-3689
Phone number: 618-236-2482
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