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1902638653
TANYA RENEE KOELKER
BELLEVILLE, IL
NPI
1902638653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180011458)
Enumeration Date
2024-08-19
Last Update Date
2024-09-05
Business Address
TANYA RENEE KOELKER LCPC
12 SUNDEW DR
BELLEVILLE, IL 62221-4356
Phone number: 618-581-8802
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Mailing Address
TANYA RENEE KOELKER LCPC
12 SUNDEW DR
BELLEVILLE, IL 62221-4356
Phone number: 314-282-5813
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