Individual
KIMELA KLUTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
634 N MAIN ST, COLUMBIA, IL 62236-1438
(636) 208-5229
Mailing address
634 N MAIN ST, COLUMBIA, IL 62236-1438
(636) 208-5229
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.001033
IL
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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