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1912636929
STACIE MICHELLE YOUNG
ROCKFORD, IL
NPI
1912636929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178.017411)
Enumeration Date
2022-06-06
Last Update Date
2022-06-06
Business Address
Mrs. STACIE MICHELLE YOUNG LPC
4835 MANHATTAN DR
ROCKFORD, IL 61108-2265
Phone number: 815-520-2303
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Mailing Address
Mrs. STACIE MICHELLE YOUNG LPC
2968 BE VER VUE RD
BELVIDERE, IL 61008-8081
Phone number: 847-917-2031
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