Individual
STEPHANIE BETH SARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 N EAST ST, SPENCER, IN 47460-1007
(812) 829-2459
(812) 828-0884
Mailing address
650 N EAST ST, SPENCER, IN 47460-1007
(812) 829-2459
(812) 828-0884
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
750771
IN
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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