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Individual

MRS. CHRISTEN STIDD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ED.S.

Contact information

Practice address
4631 HICKORY WOODS LN, MASON, OH 45040-4517
(513) 398-3741
Mailing address
5016 REVERE CT, MASON, OH 45040-3610
(513) 398-3741

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH3107978
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OH3107978
FIVE YEAR PROFESSIONAL LICENSE - SCHOOL PSYCHOLOGIST
OH
Enumeration date
04/09/2014
Last updated
12/12/2014
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