Individual
ABBYGAYLE STILLWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 JAMES ST, LAWRENCEVILLE, IL 62439-2027
(618) 943-3302
Mailing address
2101 JAMES ST, LAWRENCEVILLE, IL 62439-2027
(618) 943-3302
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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