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Mrs. Stephanie Jo Dethy
Specialist in Sellersburg, Indiana
NPI 1265561708

Stephanie Jo Dethy is a Specialist based in Sellersburg, IN. Stephanie Jo Dethy practices in Sellersburg, IN. The NPI Number for Stephanie Jo Dethy is 1265561708 and holds a License No. 958866 (Indiana).

The current practice location address for Stephanie Jo Dethy is 11523 Valley Frg, Sellersburg, IN and can be reached out via phone at 502-931-7111 and via fax at 866-528-4353.

Location: 11523 Valley Frg, Sellersburg, IN, 47172-8403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265561708
Provider Name
Stephanie Jo Dethy
Credential
Provider Entity Type
Individual
Gender
Female
Address
11523 Valley Frg, Sellersburg, IN, 47172-8403
Phone Number
502-931-7111
Fax Number
866-528-4353
Provider Enumeration Date
03/02/2007
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200825930 01 IN FIRST STEPS PROVIDER NUMB
958866 01 IN TEACHER'S LICENSE
institution
Provider Business Practice Location Address Details
Address
11523 Valley Frg
City
Sellersburg
State
Indiana
Zip
47172-8403
Phone Number
502-931-7111
Fax Number
866-528-4353
person
Provider Business Mailing Address Details
Address
11523 Valley Frg
City
Sellersburg
State
Indiana
Zip
47172-8403
Phone Number
502-931-7111
Fax Number
866-528-4353
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
958866 (Indiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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