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Individual
STEPHANIE MENDEL
Active
Individual
STEPHANIE MENDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10005630 SUPV
OH
1041C0700X
Clinical Social Worker
CW018232
PA
Other
Enumeration date
09/06/2012
Last updated
01/15/2015
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