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Individual

STEPHENIE TEAGUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.015931
IL
101YP2500X
Professional Counselor
180015931
IL
104100000X
Social Worker
150.105200
IL

Other

Enumeration date
02/10/2016
Last updated
03/07/2025
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