Individual
DONNA M TEBBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
13317 COUNTY HIGHWAY 12, VENEDY, IL 62214-1103
(618) 317-1537
Mailing address
14487 SHADY OAK LN, HIGHLAND, IL 62249-5124
(618) 654-8686
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.011188
IL
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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