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Organization
STILLWATER CENTER FOR WELLNESS PC
Active
Organization
STILLWATER CENTER FOR WELLNESS PC
Active
Parent organization
STILLWATER CENTER FOR WELLNESS PC
Other names
Thrive Center for Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
STILLWATER CENTER FOR WELLNESS PC
Authorized official
MR. DAVID VAIL LCSW (OWNER)
(217) 303-5331
Entity
Organization
Contact information
Practice address
435 W WASHINGTON ST, SPRINGFIELD, IL 62702-5006
(217) 303-5331
Mailing address
701 S DURKIN DR STE B, SPRINGFIELD, IL 62704-6030
(217) 726-7575
(217) 726-7577
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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