Individual
STEPHANIE PETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2265 STOUGHTON DR, AURORA, IL 60502-6247
(630) 881-2723
Mailing address
2265 STOUGHTON DRIVE, AURORA, IL 60502-6247
(630) 881-2723
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/21/2016
Last updated
03/21/2016
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