Individual
MISS ADRIANNE RENEE STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1653 W ADDISON ST APT 1B, CHICAGO, IL 60613-3650
(309) 224-6784
Mailing address
1653 W ADDISON ST APT 1B, CHICAGO, IL 60613-3650
(309) 224-6784
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
07/08/2011
Last updated
07/22/2011
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