Individual
RENEE COLQUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 LOCUST ST, RED BUD, IL 62278-1374
(618) 282-6251
Mailing address
PO BOX 169, RED BUD, IL 62278-0169
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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