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Individual

MRS. SARAH TERWOORD STANEFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.C.P.

Contact information

Practice address
20525 CENTER RIDGE RD, SUITE #610, ROCKY RIVER, OH 44116-3437
(440) 356-5733
Mailing address
5069 PARK DR, VERMILION, OH 44089-1414
(440) 967-0599

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2357
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000116475
ANTHEM BLUE CROSS
OH
01
270321000
MAGELLAN BEHAVIORAL HEALT
OH
01
P3220496
OXFORD HEALTH PLANS
OH
Enumeration date
01/25/2007
Last updated
08/14/2009
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