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1184014920
DEDRA STIDHAM
WOOSTER, OH
NPI
1184014920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: OH S.0029080)
Enumeration Date
2015-02-02
Last Update Date
2015-02-02
Business Address
DEDRA STIDHAM
2285 BENDEN DR
WOOSTER, OH 44691-2568
Phone number: 330-264-9029
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Mailing Address
DEDRA STIDHAM
2285 BENDEN DR
WOOSTER, OH 44691-2568
Phone number: 330-264-9029
Copy
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