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Individual

MRS. AMANDA L KIEPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
555 S PERRYVILLE RD STE 115, ROCKFORD, IL 61108-2522
(815) 978-8047
Mailing address
555 S PERRYVILLE RD STE 115, ROCKFORD, IL 61108-2522
(815) 978-8047

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.016536
IL

Other

Enumeration date
12/05/2024
Last updated
05/02/2025
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