Individual
SHAWN DANIEL STIDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
49 TOWNSHIP ROAD 365, SOUTH POINT, OH 45680-9409
(740) 451-0221
(740) 451-0771
Mailing address
49 TOWNSHIP ROAD 365, SOUTH POINT, OH 45680-9409
(740) 451-0221
(740) 451-0771
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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