Individual
STACEY HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
814 SHANAHAN RD, LEWIS CENTER, OH 43035-9078
(740) 657-4300
Mailing address
814 SHANAHAN RD, LEWIS CENTER, OH 43035-9078
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH1174132
OH
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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