STACY PETERSON

SKOKIE, IL
NPI1942460563
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2008-06-17
Last Update Date2008-06-17
Business Address
-- STACY PETERSON
8615 CRAWFORD AVE
SKOKIE, IL 60076-2125
Phone number: 630-776-1936
Mailing Address
-- STACY PETERSON
8615 CRAWFORD AVE
SKOKIE, IL 60076-2125
Phone number: 630-776-1936