Individual
MRS. JACCI RAE KOERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLMLP
Contact information
Practice address
610 E GRANT AVE, GREENSBURG, KS 67054-2708
(620) 723-2272
(620) 723-3450
Mailing address
207 W WISCONSIN AVE, GREENSBURG, KS 67054-1750
(620) 723-2214
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
TLMLP 1020
KS
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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