Individual
SANDRA STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
715 LAKE ST STE 806, OAK PARK, IL 60301-1417
(773) 312-3612
Mailing address
3617 S MICHIGAN AVE APT 302, CHICAGO, IL 60653-1060
(773) 398-2863
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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