Individual
EMILY KOONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 BRONZE POINTE N, SWANSEA, IL 62226-1099
(618) 207-2547
Mailing address
24 BRONZE POINTE N, SWANSEA, IL 62226-1099
(618) 207-2547
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
150109320
IL
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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