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Individual

ELIZABETH R STEVENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
58500 S 6TH STREET, SPRINGFIELD, IL 62703
(217) 504-4027
(217) 529-6154
Mailing address
5850 6TH STREET FRONTAGE RD E, SPRINGFIELD, IL 62703-5162
(217) 504-4027
(217) 529-6154

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.108503
IL

Other

Enumeration date
06/17/2024
Last updated
06/17/2024
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