Individual
MRS. DEBORAH S STIDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAC
Contact information
Practice address
301 N MONROE ST, OLATHE, KS 66061-3162
(913) 715-7638
Mailing address
301 N MONROE ST, OLATHE, KS 66061-3162
(913) 715-7638
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
126
KS
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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