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Stacy Johnson
NPI 1619718657 · on the registry since 2024 · sole proprietor
Practice
- Address
- 3079 Becket Rd
Cleveland, OH 44120 - Phone
- (216) 296-0035
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 171M00000X
172V00000X
251B00000X - Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-20
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