Individual
ROBERTA KECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,SSP
Contact information
Practice address
323 W WASHINGTON ST, MACOMB, IL 61455-2118
(309) 837-0558
Mailing address
323 W WASHINGTON ST, MACOMB, IL 61455-2118
(309) 837-0558
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1405462
IL
Other
Enumeration date
08/04/2017
Last updated
07/21/2022
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