Karen Rose Conlon
Psychologist, School in Peoria, IL. Individual provider (NPI-1).
NPI number1437677754
StatusActive
Last updated in NPPESSep 7, 2017
Details
- NPI
- 1437677754
- Entity type
- Individual (NPI-1)
- Name
- Karen Rose Conlon
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 7, 2017
- Last updated
- Sep 7, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | 1862209 | IL | Yes |
Practice location
3617 W Tedford DrPeoria, IL 61614-8145
Phone 309-678-8603
Mailing address
3617 W Tedford DrPeoria, IL 61614-8145
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