STACEY DINKELMAN

CENTRALIA, IL
NPI1417328741
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-10-13
Last Update Date2015-10-13
Business Address
-- STACEY DINKELMAN
904 E MARTIN LUTHER KING DR.
CENTRALIA, IL 62801
Phone number: 618-533-1391
Mailing Address
-- STACEY DINKELMAN
16271 DOG ALLEY RD
OKAWVILLE, IL 62271-1529
Phone number: