Pamela Kueker, LCSW

NPI #1366747768 in Sparta, Illinois

Provider Information

NPI Number: 1366747768
Entity Type: Individual
Name: Pamela Kueker, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jan 14, 2011
Last Updated: Jan 14, 2011

Practice Location

Address: 104 NORTHTOWN RD
City: Sparta
State: Illinois
ZIP Code: 62286-1081
Phone: (618) 443-3045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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