Individual
ANGELA S STUDEBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
601 S EDWIN C MOSES BLVD, DAYTON, OH 45417-3424
(937) 734-8333
(937) 264-0095
Mailing address
601 S EDWIN C MOSES BLVD, DAYTON, OH 45417-3424
(937) 734-8333
(937) 264-0095
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.0700753
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861798662
—
OH
Enumeration date
04/11/2018
Last updated
02/25/2019
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