Individual
MS. TERRY LOU STAGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1100 LAKE STREET, SUITE LL38, OAK PARK, IL 60301-1015
(312) 565-2838
(312) 207-0162
Mailing address
1100 LAKE STREET, SUITE LL38, OAK PARK, IL 60301-1015
(312) 565-2838
(312) 207-0162
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071002979
IL
Other
Enumeration date
01/09/2007
Last updated
07/25/2008
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