Audra Marie Stance, BA, MPA

NPI #1023688850 in Peoria, Illinois

Provider Information

NPI Number: 1023688850
Entity Type: Individual
Name: Audra Marie Stance, BA, MPA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Credential: BA, MPA
Enumeration Date: Jun 24, 2021
Last Updated: Jun 24, 2021

Practice Location

Address: 2310 W STARR ST
City: Peoria
State: Illinois
ZIP Code: 61605-3240
Phone: (510) 563-9785

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

Additional Practice Locations

2116 W Howett St

Peoria, IL, 61605-1507

(510) 563-9785

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