Most Relevant Information
Provider Data
| NPI Number: | 1003529736 |
| Provider Name: | ALEXANDRA MARIE STAUBER LSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/27/2022 |
| Last Updated: | 02/14/2023 |
Provider Practice Location
295 W DIVISION ST
COAL CITY
IL
604161581
Practice Location Phone/Fax
| Phone: | 6309158758 |
| Fax: |
Provider Mailing Location
609 WALLACE AVE
MORRIS
IL
604501332
Provider Mailing Phone/Fax
| Phone: | 6309158758 |
| Fax: |