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Individual
PENNY JEAN STADICK
Active
Individual
PENNY JEAN STADICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHP,CCAP, CNC, CH
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
NULL
171400000X
Health & Wellness Coach
Primary
—
NULL
171400000X
Health & Wellness Coach
Primary
—
—
174H00000X
Health Educator
—
NULL
176B00000X
Midwife
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
374J00000X
Doula
—
NULL
Other
Enumeration date
04/30/2020
Last updated
07/19/2021
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