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Search › Ohio › 171M00000X

Steven Wallace, QBHS

NPI 1265168488 · on the registry since 2022

Practice

Address
1012 Odnr Mohican 51
Perrysville, OH 44864
Phone
(419) 994-0300
Organisation at this address
Young Star Academy
Young Star Academy
Mohican Youth Academy
Mohican Youth Academy
Mohican Youth Academy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
68

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio