Individual
ALICE E QUEEN-STORZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW, MSW
Contact information
Practice address
601 CLEVELAND AVE NW, CANTON, OH 44702-1836
(330) 455-0374
(330) 453-6716
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 455-2101
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I2102565
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0307009
—
OH
Enumeration date
06/17/2016
Last updated
01/20/2021
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