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Contact Information

STILLWATER CENTER FOR WELLNESS PC
435 W WASHINGTON ST
SPRINGFIELD, IL62702-5006
 Phone: 217-303-5331
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Counseling

103TC1900X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for STILLWATER CENTER FOR WELLNESS PC · (Female)

NPI Number 1134787989
Status Active
Credentials
Entity Individual
Enumeration date 06/05/2019
Last updated 06/05/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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