Individual
MRS. MAUREEN MARGARET STULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1560 S NIXON CAMP RD, LEBANON, OH 45036-9638
(513) 933-9179
Mailing address
1560 S NIXON CAMP RD, LEBANON, OH 45036-9638
(513) 933-9179
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0891978
—
OH
Enumeration date
04/12/2007
Last updated
07/08/2007
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