Individual
LIZA CARROLL STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
5016 N UNIVERSITY ST STE 101, PEORIA, IL 61614-4763
(309) 863-5590
Mailing address
5016 N UNIVERSITY ST STE 101, PEORIA, IL 61614-4763
(309) 863-5590
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
150115408
IL
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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