Provider Information for 1669020905
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ASHLEY SABBATH DEHN LPC
Sex: Female
NPI: 1669020905
Last Updated: 2019-08-29
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1669020905 | ||||||||
| Enumeration Date | 2019-08-29 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 127 W PRAIRIE AVE APT 1 STOCKTON, IL 61085-9291 United States Phone: 815-990-7463 | Fax: | ||||||||
| Primary Practice Address | 1090 MCCONNELL RD WOODSTOCK, IL 60098-7310 United States Phone: 815-575-9675 | Fax: | ||||||||
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