Individual
ALEXIS M STIMPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
213 E CHESTNUT ST, MOUNT VERNON, OH 43050-3404
(740) 326-9255
Mailing address
168 N OREGON ST APT B, JOHNSTOWN, OH 43031-1046
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1803058
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0283724
—
OH
05
—
0315743
—
OH
Enumeration date
04/04/2018
Last updated
09/25/2018
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