| NPI | 1003138314 |
|---|---|
| Professional Name | LEAH REBBECA STALLWORTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0029728) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2022-03-30 |