Stacey L. Mong

NPI #1205342250 in Mansfield, Ohio

Provider Information

NPI Number: 1205342250
Entity Type: Individual
Name: Stacey L. Mong
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Dec 28, 2017
Last Updated: Dec 28, 2017

Practice Location

Address: 741 SCHOLL RD
City: Mansfield
State: Ohio
ZIP Code: 44907-1571
Phone: (419) 610-6815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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