| Stefanie Von Ohlen Llc | |
|
757 Mining Gap Conn Young Harris GA 30582-2327 | |
| (716) 598-7473 | |
| (727) 490-3921 |
| Full Name | Stefanie Von Ohlen Llc |
|---|---|
| Speciality | Social Worker |
| Location | 757 Mining Gap Conn, Young Harris, Georgia |
| Authorized Official Name and Position | Stefanie Von Ohlen (OWNER) |
| Authorized Official Contact | 7165987473 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stefanie Von Ohlen Llc 757 Mining Gap Conn Young Harris GA 30582-2327 Ph: (716) 598-7473 | Stefanie Von Ohlen Llc 757 Mining Gap Conn Young Harris GA 30582-2327 Ph: (716) 598-7473 |
| NPI Number | 1982109484 |
|---|---|
| Provider Enumeration Date | 03/27/2018 |
| Last Update Date | 06/12/2024 |
| Certification Date | 06/12/2024 |
| Medicare PECOS PAC ID | 7012263890 |
|---|---|
| Medicare Enrollment ID | O20180710000108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982109484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW7268 (Florida) | Primary |
| Provider Name | Stefanie H Vonohlen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376707695 PECOS PAC ID: 8921354705 Enrollment ID: I20180710000202 |
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