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1235639089
STEPHANIE ANNETTE DALTON
ALTON, IL
NPI
1235639089
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MO 2018002377)
Enumeration Date
2018-02-19
Last Update Date
2021-07-23
Business Address
STEPHANIE ANNETTE DALTON LCSW
2615 EDWARDS ST
ALTON, IL 62002-3915
Phone number: 618-462-2331
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Mailing Address
STEPHANIE ANNETTE DALTON LCSW
902 W MAIN ST
WEST FRANKFORT, IL 62896-2210
Phone number: 618-937-6483
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