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Individual

HSIAO CHI PENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
919 2ND ST NE, CANTON, OH 44704-1132
(330) 454-7917
(330) 452-8860
Mailing address
919 2ND ST NE, CANTON, OH 44704-1132
(330) 454-7917
(330) 452-8860

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1400053-TRNE
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0290822
OH
Enumeration date
06/18/2014
Last updated
06/18/2014
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