Individual
STACI DIRENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 DEBARTOLO PL, YOUNGSTOWN, OH 44512-7011
(330) 965-7828
Mailing address
100 DEBARTOLO PL, YOUNGSTOWN, OH 44512-7011
(330) 965-7828
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH1254217
OH
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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