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Individual
MRS. ADRIENNE WEAVER STAHL
Active
Individual
MRS. ADRIENNE WEAVER STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRC, QRP
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
QRP00000264
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C-043170
CERTIF. REHAB. COUNSELOR
IL
01
—
QRP00000264
QUALIFIED REHABILITATION
WV
Enumeration date
04/23/2007
Last updated
07/08/2007
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