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Individual
STEPHANIE PURDOM
Active
Individual
STEPHANIE PURDOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149018746
IL
1041C0700X
Clinical Social Worker
Primary
I.1901523
OH
Other
Enumeration date
09/05/2016
Last updated
06/18/2019
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