Individual
AMY E STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
15127 S 73RD AVE, ORLAND PARK, IL 60462-4398
(708) 845-5500
(708) 845-5505
Mailing address
PO BOX 120125, GRAND RAPIDS, MI 49528-0103
(616) 235-2090
(616) 235-2099
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178003899
IL
Other
Enumeration date
02/15/2006
Last updated
10/01/2009
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