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Individual

BRIAN STOOPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
20613 N BROAD ST STE B, CARLINVILLE, IL 62626
(217) 854-3881
Mailing address
20733 N BROAD ST, CARLINVILLE, IL 62626-3710
(217) 854-3141

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149016747
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
149016747
LICENSE CLINICAL SOCIAL WORKER
IL
Enumeration date
09/15/2014
Last updated
03/14/2025
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