Individual
MS. JOAN L. STAIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
315 S. COLLEGE AVE., BOWLING GREEN, OH 43402-3254
(419) 352-0702
Mailing address
315 S. COLLEGE AVE., BOWLING GREEN, OH 43402-3254
(419) 352-0702
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
I0004462
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
344428225002
TRICARE
OH
01
—
IOOO4462
STATE LICENSE
OH
Enumeration date
11/27/2007
Last updated
09/02/2008
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