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1821778168
STEPHANIE GAGNON
DECATUR, IL
NPI
1821778168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180.015400)
Enumeration Date
2023-07-21
Last Update Date
2023-07-21
Business Address
Mrs. STEPHANIE GAGNON LCPC
320 E CENTRAL AVE
DECATUR, IL 62521-4665
Phone number: 217-877-9117
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Mailing Address
Mrs. STEPHANIE GAGNON LCPC
2660 S FORREST GREEN DR
DECATUR, IL 62521-5411
Phone number: 217-972-3499
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