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Individual

ANDREA Y STALLWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NCC

Contact information

Practice address
106 S LINCOLNWAY STE E, NORTH AURORA, IL 60542-1597
(630) 624-6561
Mailing address
33 AZALEA DR APT 1424, SCHAUMBURG, IL 60173-2194
(630) 624-6561

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/21/2021
Last updated
09/21/2021
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