Stephanie Kiesel

NPI #1245747658 in Belvidere, Illinois

Provider Information

NPI Number: 1245747658
Entity Type: Individual
Name: Stephanie Kiesel
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - School
Enumeration Date: Jan 8, 2018
Last Updated: Jan 8, 2018

Practice Location

Address: 1011 BONUS AVE
City: Belvidere
State: Illinois
ZIP Code: 61008-2343
Phone: (815) 544-2671

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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