Provider Demographics
NPI:1023606852
Name:CARPENTER, STEPHANIE J (CASE MANAGER)
Entity type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:J
Last Name:CARPENTER
Suffix:
Gender:F
Credentials:CASE MANAGER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32797 HARTSHORN RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43754-9418
Mailing Address - Country:US
Mailing Address - Phone:740-538-7006
Mailing Address - Fax:
Practice Address - Street 1:750 COUNTY HOUSE LN
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-6979
Practice Address - Country:US
Practice Address - Phone:740-376-0939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management