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Individual

CASEY JO STANTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
117 GLEN CROSSING RD, GLEN CARBON, IL 62034-1405
(618) 801-9266
Mailing address
2722 GRANDVIEW AVE, ALTON, IL 62002-1812
(618) 801-9266

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
IL

Other

Enumeration date
07/17/2026
Last updated
07/17/2026
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