Individual
MRS. CAROL JEANNE KOESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7498 E 1200TH AVE, EFFINGHAM, IL 62401-6628
(618) 483-3038
(618) 483-3038
Mailing address
7498 E 1200TH AVE, EFFINGHAM, IL 62401-6628
(618) 483-3038
(618) 483-3038
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
04/03/2007
Last updated
07/26/2010
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