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1962236224
ALICIA STODDARD FOLEY
BLOOMINGTON, IL
NPI
1962236224
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL 209-030301)
Enumeration Date
2024-08-29
Last Update Date
2024-08-29
Business Address
ALICIA STODDARD FOLEY PMHNP-BC
15 DOWNING CIR
BLOOMINGTON, IL 61704-7620
Phone number: 815-303-4560
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Mailing Address
ALICIA STODDARD FOLEY PMHNP-BC
15 DOWNING CIR
BLOOMINGTON, IL 61704-7620
Phone number: 815-303-4560
Copy
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