Individual
AMANDA STEPHANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6843 STANLEY AVE, BERWYN, IL 60402-5292
(414) 939-3886
Mailing address
6843 STANLEY AVE, BERWYN, IL 60402-5292
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.022005
IL
Other
Enumeration date
07/24/2020
Last updated
07/27/2020
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