Individual
ALICIA STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11824 MAIN ST, ROSCOE, IL 61073-9561
(815) 623-6534
Mailing address
1006 W SMITH ST, FREEPORT, IL 61032-3822
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.011727
IL
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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