Individual
MS. DIANA FAYE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
19892 CAMP SPRING ROAD, ASHMORE, IL 61912-9183
(217) 345-3448
(217) 345-3470
Mailing address
19892 CAMP SPRING ROAD, ASHMORE, IL 61912-9183
(217) 345-3448
(217) 345-3470
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.009512
IL
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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