Stephanie Householder, PSR TECH

NPI #1023429362 in Kennett, Missouri

Provider Information

NPI Number
1023429362
Entity Type
Individual
Name
Stephanie Householder, PSR TECH
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Community Health Worker
Credential
PSR TECH
Enumeration Date
May 8, 2014
Last Updated
May 8, 2014

Practice Location

Address
935 HIGHWAY VV
ZIP Code
63857-0071
Phone
(573) 888-0642

Specialties & Taxonomy Codes

Specialty
Community Health Worker

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