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Ms. Stephanie Mae Roman
Addiction (Substance Use Disorder) Counselor in Dixon, Illinois
NPI 1275133514

Stephanie Mae Roman is an Addiction (Substance Use Disorder) Counselor based in Dixon, IL and is specialized in Addiction (Substance Use Disorder). Stephanie Mae Roman practices in Dixon, IL. The NPI Number for Stephanie Mae Roman is 1275133514 and holds a License No. (Illinois).

The current practice location address for Stephanie Mae Roman is 325 Illinois Rt 2, Dixon, IL and can be reached out via phone at 815-284-6611.

Location: 325 Illinois Rt 2, Dixon, IL, 61021-9118
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275133514
Provider Name
Stephanie Mae Roman
Credential
Provider Entity Type
Individual
Gender
Female
Address
325 Illinois Rt 2, Dixon, IL, 61021-9118
Phone Number
815-284-6611
Fax Number
Provider Enumeration Date
10/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
325 Illinois Rt 2
City
Dixon
State
Illinois
Zip
61021-9118
Phone Number
815-284-6611
Fax Number
person
Provider Business Mailing Address Details
Address
325 Illinois Rt 2
City
Dixon
State
Illinois
Zip
61021-9118
Phone Number
815-284-6611
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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