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Individual

MRS. CASEY MICHELLE STICHTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NCC, LCPC

Contact information

Practice address
4709 44TH ST, ROCK ISLAND, IL 61201-7187
(309) 793-3460
Mailing address
4709 44TH ST, ROCK ISLAND, IL 61201-7187
(309) 793-3460

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
IL

Other

Enumeration date
01/10/2008
Last updated
01/10/2008
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