Individual
ALVIN STALLWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3618 W MARKET ST # E15, FAIRLAWN, OH 44333-2425
(330) 271-6160
Mailing address
3618 W MARKET ST # E15, FAIRLAWN, OH 44333-2425
(330) 271-6160
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OH
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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