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1710224936
STACEY JO MUNOZ
PEORIA, IL
NPI
1710224936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180.007832)
Enumeration Date
2013-01-08
Last Update Date
2013-01-08
Business Address
Mrs. STACEY JO MUNOZ MA, LCPC
6707 N SHERIDAN RD STE N
PEORIA, IL 61614-2848
Phone number: 309-453-3604
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Mailing Address
Mrs. STACEY JO MUNOZ MA, LCPC
6707 N SHERIDAN RD STE N
PEORIA, IL 61614-2848
Phone number: 309-453-3604
Copy
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