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Individual

MRS. SARAH ELIZABETH STEPHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
8650 GOVERNORS HILL DR, SUITE 180, CINCINNATI, OH 45249-1372
(513) 791-5766
Mailing address
2641 FREEDOM TRL, BATAVIA, OH 45103-8521
(937) 205-1761

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
3234
OH
171W00000X
Contractor
A3874
KY

Other

Enumeration date
09/15/2011
Last updated
09/15/2011
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