Provider Demographics
NPI:1639732662
Name:PRICE, STEPHANIE MAUREEN (MSW, LSW)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:MAUREEN
Last Name:PRICE
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2476 STATE ROUTE 12
Mailing Address - Street 2:
Mailing Address - City:RAWSON
Mailing Address - State:OH
Mailing Address - Zip Code:45881-9607
Mailing Address - Country:US
Mailing Address - Phone:419-306-0469
Mailing Address - Fax:
Practice Address - Street 1:1900 S MAIN ST
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-1214
Practice Address - Country:US
Practice Address - Phone:419-423-4500
Practice Address - Fax:419-423-5349
Is Sole Proprietor?:No
Enumeration Date:2019-04-16
Last Update Date:2019-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.0900532104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker