Individual
STEPHANIE D CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1912 JONES PL, KOKOMO, IN 46902-5084
(765) 438-6625
Mailing address
1912 JONES PL, KOKOMO, IN 46902-5084
(765) 438-6625
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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