Footh, Stephanie Irene
Footh, Stephanie Irene is an individual health care provider with primary practice located at 1011 Meadowlands Dr Ste 1 , White Bear Lake MN 55127-2340. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Footh, Stephanie Irene can be contacted via phone (612) 445-0300.Contact Information
Primary practice address
1011 Meadowlands Dr Ste 1
White Bear Lake MN 55127-2340
Phone: (612) 445-0300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1013616242 |
|---|---|
| LBN Legal business name | Footh, Stephanie Irene |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2023 |
| Last updated | Feb 27th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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