Individual
STACEY NICOLE LEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3513 ELSON ST SE, MAGNOLIA, OH 44643-9762
(330) 418-2735
Mailing address
3513 ELSON ST SE, MAGNOLIA, OH 44643-9762
(330) 418-2735
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/29/2024
Last updated
04/21/2026
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