Most Relevant Information
Provider Data
| NPI Number: | 1003578295 |
| Provider Name: | STACEY ANN THOMPSON |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/06/2021 |
| Last Updated: | 10/06/2021 |
Provider Practice Location
4633 AICHOLTZ RD
CINCINNATI
OH
452441447
Practice Location Phone/Fax
| Phone: | 5137521555 |
| Fax: |
Provider Mailing Location
4629 AICHOLTZ RD
CINCINNATI
OH
452441551
Provider Mailing Phone/Fax
| Phone: | 5137521555 |
| Fax: |