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Contact Information

MARY J STANLEY
1530 LINCOLN AVE
CHARLESTON, IL61920
 Phone: 217-348-0127
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Therapist

222Q00000X
Indicates primary specialty

NPI Profile & details for MARY J STANLEY · (Female)

NPI Number 1114639820
Status Active
Credentials
Entity Individual
Enumeration date 12/14/2022
Last updated 12/14/2022 - About 3 years ago
Sole proprietor 1 No
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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