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Mariah Stubblefield, MSOTR/L

NPI 1871986976 · on the registry since 2015 · sole proprietor

Practice

Address
14840 State Highway 14
Benton, IL 62812
Phone
(618) 218-5006

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-03-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois