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Individual

KATHERINE ANCELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
925 S GIANT CITY RD, CARBONDALE, IL 62902-5056
(618) 457-3591
Mailing address
72 SCOTTY DR, CARBONDALE, IL 62903-7360

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
781132
IL

Other

Enumeration date
08/31/2017
Last updated
08/31/2017
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