Individual
MISS STEPHANIE SHADOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 ELBERON AVE APT 1, CINCINNATI, OH 45205-2390
(513) 368-1850
Mailing address
707 ELBERON AVE APT 1, CINCINNATI, OH 45205-2390
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.003843
OH
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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