BETH ELLEN STANFORD

WATERLOO, IL
NPI1043940984
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2022-06-14
Last Update Date2022-06-14
Business Address
BETH ELLEN STANFORD MHP
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298-1059
Phone number: 618-939-4444
Mailing Address
BETH ELLEN STANFORD MHP
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298-1059
Phone number: 618-939-4444
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