Provider Information for 1225303910
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Dr. RENEE ANN ST. CLAIR Ph.D., LMFT
Sex: Female
NPI: 1225303910
Last Updated: 2016-06-03
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1225303910 | ||||||||||||
| Enumeration Date | 2012-03-14 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 201 W. SPRINGFIELD AVE. SUITE 1005-1006 CHAMPAIGN, IL 61820 United States Phone: 217-693-4918 | Fax:217-531-4047 | ||||||||||||
| Primary Practice Address | 201 W. SPRINGFIELD AVE. SUITE 1005-1006 CHAMPAIGN, IL 61820 United States Phone: 217-693-4918 | Fax:217-531-4047 | ||||||||||||
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