SHEILA L. KLEINMAN, PH.D., P.C.
Social Work at State St, Belleville, IL

License number
Illinois 071004097
Category
Social Work
Type
Clinical
Owner
Name: DR. SHEILA L KLEINMAN PH.D.
Title: OWNER
Phone: (618) 624-1210
Address
Address
822 W State St, Belleville, IL 62269
National Provider ID: 1518092493
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SHEILA L. KLEINMAN, PH.D., PC

O Fallon, IL 62269

Registration:
Sep 26, 2003
State ID:
63115142
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
Agent:
Terry I Bruckert,1002 E Wesley Dr, O Fallon, IL 62269 (Physical)

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