Individual
STACY C BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4224 N LOCKWOOD AVE UPPR, TOLEDO, OH 43612-1747
(419) 297-3035
Mailing address
4224 N LOCKWOOD AVE UPPR, TOLEDO, OH 43612-1747
(419) 297-3035
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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