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Individual

AMANDA STAGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
333 N MICHIGAN AVE STE 1900, CHICAGO, IL 60601-3994
(773) 321-2792
Mailing address
333 N MICHIGAN AVE STE 1900, CHICAGO, IL 60601-3994

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.010030
IL

Other

Enumeration date
07/10/2019
Last updated
04/10/2020
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