Individual
PAMELA STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13684 STATE ROUTE 339, WATERFORD, OH 45786-5397
(740) 538-1302
Mailing address
13684 STATE ROUTE 339, WATERFORD, OH 45786-5397
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71971842
—
OH
Enumeration date
01/23/2023
Last updated
01/23/2023
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