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Individual

STEPHANIE LANDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
222 E WILLOW AVE, WHEATON, IL 60187-5426
(630) 319-3841
Mailing address
2111 SILVERSTONE DR, CARPENTERSVILLE, IL 60110-1197
(847) 338-9600

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.012191
IL

Other

Enumeration date
05/17/2019
Last updated
05/17/2019
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