Beth Ellen Stanford, MHP

NPI #1043940984 in Waterloo, Illinois

Provider Information

NPI Number
1043940984
Entity Type
Individual
Name
Beth Ellen Stanford, MHP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Rehabilitation Practitioner
Credential
MHP
Enumeration Date
Jun 14, 2022
Last Updated
Jun 14, 2022

Practice Location

Address
988 N ILLINOIS ROUTE 3
ZIP Code
62298-1059
Phone
(618) 939-4444

Specialties & Taxonomy Codes

Specialty
Rehabilitation Practitioner

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