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SHELLEY STUART LSW

>> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1811325889

Individual Registrant:
 SHELLEY  STUART LSW
Gender: F
Sole Proprietor

Location and contact information for practice:
401 TUSCARAWAS ST W SUITE 501 CANTON, OH 44702-2042 US
Tel: 800-639-4974  Fax: --

Contact information for business:
202 E BAGLEY RD  BEREA, OH 44017-2058 US
Tel: --  Fax: --

Registration Information:
NPI: 1811325889
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker
OHS.0800032

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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