Individual
BEVERLY MERCEDES STAIGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
Mailing address
417 LONSDALE AVE, OAKWOOD, OH 45419-3251
(937) 369-9365
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I1200804
OH
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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