Most Relevant Information
Provider Data
| NPI Number: | 1003300641 |
| Provider Name: | STEPHANIE WAHL |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | I.2002313-SUPV |
Most Important Dates
| Enumeration Date: | 06/18/2018 |
| Last Updated: | 07/13/2023 |
Provider Practice Location
58 N 5TH ST STE 102
ZANESVILLE
OH
437013527
Practice Location Phone/Fax
| Phone: | 7402146443 |
| Fax: |
Provider Mailing Location
PO BOX 3103
ZANESVILLE
OH
437023103
Provider Mailing Phone/Fax
| Phone: | 7402146443 |
| Fax: |