Individual
MS. LEAH REBBECA STALLWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
19530 EUCLID AVE, EUCLID, OH 44117-1486
(216) 243-5589
Mailing address
19530 EUCLID AVE, EUCLID, OH 44117-1486
(216) 243-5589
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0029728
OH
Other
Enumeration date
03/01/2010
Last updated
03/30/2022
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