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Individual
STEPHANIE L DAVINGMAN
Active
Individual
STEPHANIE L DAVINGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC, LCSW, LMFT
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-0007470
IL
106H00000X
Marriage & Family Therapist
166-000510
IL
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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