Individual
STEPHANIE LYNN FORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6625 COUNTY LANE 276, CARL JUNCTION, MO 64834
(417) 439-2502
Mailing address
6625 COUNTY LANE 276, CARL JUNCTION, MO 64834-8454
(417) 439-2502
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/18/2017
Last updated
07/21/2022
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