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Individual

BRITTANY STEVENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., L.C.P.C.

Contact information

Practice address
11601 S NAGLE AVE, WORTH, IL 60482-2311
(708) 921-4203
Mailing address
11601 S NAGLE AVE, WORTH, IL 60482-2311
(708) 921-4203

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180010784
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
180010784
IL
Enumeration date
01/20/2017
Last updated
01/20/2017
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