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Individual
STEPHANIE PALACIOS
Active
Individual
STEPHANIE PALACIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT, PSYD CANDIDATE
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
NA
IL
103TH0100X
Health Service Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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