Individual
DASHIA STANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I.1700107-SUPV
OH
104100000X
Social Worker
S1450441
OH
1041C0700X
Clinical Social Worker
I.1700107
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2846595
—
OH
01
—
724575
WORKERS' COMPENSATION EMPLOYER RISK NUMBER
—
Enumeration date
04/15/2016
Last updated
09/08/2023
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