TERRY STAMBAUGH

MOLINE, IL
NPI1417317066
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149018309)
Enumeration Date2016-02-24
Last Update Date2018-03-17
Business Address
TERRY STAMBAUGH LCSW
4600 3RD ST
MOLINE, IL 61265-6106
Phone number: 309-779-2018
Mailing Address
TERRY STAMBAUGH LCSW
1829 4TH AVE APT 406
ROCK ISLAND, IL 61201-8155
Phone number: 309-292-2033