Individual
STACIE BAKER CORDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11701 W LAKE RD, VERMILION, OH 44089-3029
(440) 371-0781
Mailing address
11701 W LAKE RD, VERMILION, OH 44089-3029
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1904559
IL
Other
Enumeration date
10/06/2019
Last updated
10/06/2019
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