Individual
STEPHANIE STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1509 N BOWMAN AVENUE RD, DANVILLE, IL 61832-2037
(217) 431-0987
Mailing address
2106 N JACKSON ST, DANVILLE, IL 61832-1563
(217) 213-1240
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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