GABRIELLE CELESTE STICE

CHARLESTON, IL
NPI1700364841
Former NameGABRIELLE CELESTE CROUSE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056.016329)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: IL  057.004992)
Enumeration Date2018-07-31
Last Update Date2025-11-04
Business Address
GABRIELLE CELESTE STICE
526 W GRANT AVE
CHARLESTON, IL 61920-3222
Phone number: 217-377-5803
Mailing Address
GABRIELLE CELESTE STICE
526 W GRANT AVE
CHARLESTON, IL 61920-3222
Phone number: 217-377-5803