Individual
JACK MORAN STALLARD II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7162 READING RD STE 300, CINCINNATI, OH 45237-3899
(513) 961-5900
(513) 961-5903
Mailing address
7162 READING RD STE 300, CINCINNATI, OH 45237-3899
(513) 961-5900
(513) 961-5903
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S0500276
OH
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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