Terry Stambaugh, LCSW

NPI #1417317066 in Moline, Illinois

Provider Information

NPI Number: 1417317066
Entity Type: Individual
Name: Terry Stambaugh, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Feb 24, 2016
Last Updated: Mar 17, 2018

Practice Location

Address: 4600 3RD ST
City: Moline
State: Illinois
ZIP Code: 61265-6106
Phone: (309) 779-2018

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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