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Individual

DR. STEPHEN MARC SILLING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
267 W GARWOOD DR, TALLMADGE, OH 44278-1329
(330) 620-0405
(330) 972-5679
Mailing address
267 W GARWOOD DR, TALLMADGE, OH 44278-1329
(330) 620-0405
(330) 972-5679

Taxonomy

Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
3261
OH
103TC1900X
Counseling Psychologist
Primary
3261
OH

Other

Enumeration date
12/22/2009
Last updated
12/22/2009
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