Individual
STACY L FAHLSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DR.
Contact information
Practice address
3745 SHAWNEE RD STE 105, LIMA, OH 45806-1662
(419) 999-2024
Mailing address
3611 S DIXIE HWY, LIMA, OH 45804-3750
(419) 999-2024
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5830
OH
Other
Enumeration date
12/25/2006
Last updated
11/19/2019
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