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Individual

ANGEL KNOVEREK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
131 N 4TH ST, QUINCY, IL 62301-2913
(217) 223-7492
(217) 223-7516
Mailing address
1269 PLACE PLACE, QUINCY, IL 62301-4219
(217) 440-6247

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
180005002
IL

Other

Enumeration date
06/10/2011
Last updated
06/10/2011
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