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Individual

SHARON STUCKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1909 CHEKER SQ, EAST HAZEL CREST, IL 60429-1442
(708) 647-3345
Mailing address
1342 EAST ST, CRETE, IL 60417-3023
(708) 647-3345

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7048
IL

Other

Enumeration date
04/04/2016
Last updated
04/04/2016
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