Individual
MRS. STEPHANIE R RABIN DICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1019 MAYFAIR DR, LIBERTYVILLE, IL 60048-3548
(773) 531-8569
Mailing address
1019 MAYFAIR DR, LIBERTYVILLE, IL 60048-3548
(773) 531-8569
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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