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1891202446
STACEY CANTRELL
SPRINGFIELD, IL
NPI
1891202446
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178009014)
Enumeration Date
2018-01-04
Last Update Date
2018-06-16
Business Address
STACEY CANTRELL LPC
5230 6TH STREET FRONTAGE RD E
SPRINGFIELD, IL 62703-5128
Phone number: 217-585-1180
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Mailing Address
STACEY CANTRELL LPC
5230 6TH STREET FRONTAGE RD E
SPRINGFIELD, IL 62703-5128
Phone number: 217-585-1180
Copy
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