Individual
STACEY ROUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2781 DEER PASS DR SW, CANTON, OH 44706-4300
(234) 214-7536
Mailing address
1232 S PARK AVE NW, CANTON, OH 44708-2921
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
—
—
Other
Enumeration date
09/16/2025
Last updated
10/24/2025
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