Most Relevant Information
Provider Data
| NPI Number: | 1003686866 |
| Provider Name: | STEPHANIE WINDHAM |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | CDCA.186711 |
Most Important Dates
| Enumeration Date: | 01/03/2024 |
| Last Updated: | 01/03/2024 |
Provider Practice Location
2775 STATE ROUTE 39
SHELBY
OH
448759466
Practice Location Phone/Fax
| Phone: | 4197473322 |
| Fax: |
Provider Mailing Location
663 BURNS ST
MANSFIELD
OH
449031062
Provider Mailing Phone/Fax
| Phone: | 4196127040 |
| Fax: |