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1710010293
STEPHANIE ANN HAVERSTOCK
JOLIET, IL
NPI
1710010293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178.004227)
Enumeration Date
2007-03-13
Last Update Date
2007-07-09
Business Address
Mrs. STEPHANIE ANN HAVERSTOCK MA, LPC, NBCC
62 W WASHINGTON ST
JOLIET, IL 60432-4331
Phone number: 815-722-4384
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Mailing Address
Mrs. STEPHANIE ANN HAVERSTOCK MA, LPC, NBCC
14316 HEATHERWOOD CT
HOMER GLEN, IL 60491-9124
Phone number: 708-301-0396
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