Individual
KATELYN HOUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SSP
Contact information
Practice address
1525 LOCUST ST, RED BUD, IL 62278-1374
(618) 282-6251
Mailing address
1525 LOCUST ST, RED BUD, IL 62278-1374
(618) 282-6251
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1308053
IL
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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