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1417317066
TERRY STAMBAUGH
MOLINE, IL
NPI
1417317066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149018309)
Enumeration Date
2016-02-24
Last Update Date
2018-03-17
Business Address
TERRY STAMBAUGH LCSW
4600 3RD ST
MOLINE, IL 61265-6106
Phone number: 309-779-2018
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Mailing Address
TERRY STAMBAUGH LCSW
1829 4TH AVE APT 406
ROCK ISLAND, IL 61201-8155
Phone number: 309-292-2033
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