Individual
STEPHANIE SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BACHELORS OF SCIENCE
Contact information
Practice address
105 N OAK ST, 291 PO BOX, NEW BERLIN, IL 62670-5312
(217) 370-3737
Mailing address
107 NORTH OAK, NEW BERLIN, IL 62670
(217) 370-3737
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/21/2010
Last updated
04/21/2010
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