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Organization

LAURIE BALTZ COUNSELING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURIE BALTZ (COUNSELOR)
(618) 567-3693
Entity
Organization

Contact information

Practice address
8 EAGLE CTR STE 15, BELLEVILLE, IL 62269-1947
(618) 567-3693
Mailing address
3208 ROAN HILL DR, BELLEVILLE, IL 62221-6918
(618) 567-3693

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1134665110
NPI
Enumeration date
11/12/2020
Last updated
11/12/2020
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