Individual
MRS. ROBIN GAYE STUFFLEBEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN PC LICDC
Contact information
Practice address
76 ASHWOOD DR, TIFFIN, OH 44883-1908
(419) 448-9440
(419) 448-5155
Mailing address
1925 HAYES AVE, SANDUSKY, OH 44870-4737
(419) 557-5177
(419) 557-5179
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C1200155
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
ICDC081097
OH
163W00000X
Registered Nurse
RN240023
OH
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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