Individual
DEDRA STIDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2285 BENDEN DR, WOOSTER, OH 44691-2568
(330) 264-9029
(330) 263-7251
Mailing address
2285 BENDEN DR, WOOSTER, OH 44691-2568
(330) 264-9029
(330) 263-7251
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.0029080
OH
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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