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Individual

HEATHER RAE MERKLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
3 OAK DR STE B, MARYVILLE, IL 62062-5635
(618) 972-1568
Mailing address
3 OAK DR STE B, MARYVILLE, IL 62062-5635

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.009891
IL
101YP2500X
Professional Counselor
2021014184
MO

Other

Enumeration date
02/12/2018
Last updated
09/15/2021
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