Individual
STACEY LYNN CHAFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 S MAIN ST, BELLE RIVE, IL 62810-1228
(618) 316-1626
Mailing address
3077 E COLE ST, SCHELLER, IL 62883-2115
(618) 218-5588
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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