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Individual
STEPHANIE LYN QUIROZ
Active
Individual
STEPHANIE LYN QUIROZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.170394
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.173403
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0346662
—
OH
Enumeration date
05/01/2019
Last updated
11/07/2023
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