Individual
MARTHA STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 HOSPITAL DR, DOVER, OH 44622-2058
(330) 343-6631
(330) 343-8188
Mailing address
217 DALE LN NW, NEW PHILADELPHIA, OH 44663-1832
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
PN.116760-M-IV
OH
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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