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1679136485
RICHELLE STACKERT
CHICAGO, IL
NPI
1679136485
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071007745)
Enumeration Date
2019-04-17
Last Update Date
2019-04-23
Business Address
RICHELLE STACKERT PhD
1321 E 55TH ST
CHICAGO, IL 60615-5301
Phone number: 773-217-8415
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Mailing Address
RICHELLE STACKERT PhD
1321 E 55TH ST
CHICAGO, IL 60615-5301
Phone number: 773-288-9101
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