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1134192271
STEPHANIE LO ESTELL
BLOOMINGTON, IN
NPI
1134192271
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34004183A)
Enumeration Date
2006-02-09
Last Update Date
2014-01-23
Business Address
-- STEPHANIE LO ESTELL LCSW
645 S ROGERS ST
BLOOMINGTON, IN 47403-2353
Phone number: 812-339-1691
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Mailing Address
-- STEPHANIE LO ESTELL LCSW
645 S ROGERS ST
BLOOMINGTON, IN 47403-2353
Phone number: 812-339-1691
Copy
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