Queen-Storz, Alice E

Queen-Storz, Alice E is an individual health care provider with primary practice located at 601 Cleveland Ave Nw , Canton OH 44702-1836. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Queen-Storz, Alice E can be contacted via phone (330) 455-0374.

Contact Information

Primary practice address
601 Cleveland Ave Nw Canton OH 44702-1836
Phone: (330) 455-0374
Fax: (330) 453-6716
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I2102565 Ohio

Profile Details

NPI number 1811347131
LBN Legal business name Queen-Storz, Alice E
Credentials LISW, MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2016
Last updated Jan 20th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811347131 NPPES
Ohio MEDICAID 0307009

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