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Individual

MS. STEPHANE GAIL PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-3200
(309) 779-2755
Mailing address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-3200
(309) 779-2755

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.005641
IL

Other

Enumeration date
11/22/2013
Last updated
03/05/2019
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