Mary Jean Stanley

NPI #1114639820 in Charleston, Illinois

Provider Information

NPI Number: 1114639820
Entity Type: Individual
Name: Mary Jean Stanley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Dec 14, 2022
Last Updated: Dec 14, 2022

Practice Location

Address: 1530 LINCOLN AVE
City: Charleston
State: Illinois
ZIP Code: 61920
Phone: (217) 348-0127

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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