Individual
MISS STEPHANIE CLIFTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3824 147TH ST, MIDLOTHIAN, IL 60445-3462
(708) 374-3778
Mailing address
3824 147TH ST, MIDLOTHIAN, IL 60445-3462
(708) 374-3778
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227007944
IL
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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