STEPHANIE SEVERSON

ROCKFORD, IL
NPI1831447457
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: IL  166.000966)
Enumeration Date2012-08-29
Last Update Date2016-05-10
Business Address
-- STEPHANIE SEVERSON LMFT
1463 S BELL SCHOOL RD
ROCKFORD, IL 61108-1406
Phone number: 815-742-3808
Mailing Address
-- STEPHANIE SEVERSON LMFT
4641 STEWARD RD
ROCKFORD, IL 61101-2004
Phone number: