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819 Southwestern Run Ste 2 Poland OH 44514-3623 | |
| (330) 953-1354 | |
| (330) 953-1364 |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 819 Southwestern Run Ste 2, Poland, Ohio |
| Authorized Official Name and Position | Carla Renae Arlien (OWNER) |
| Authorized Official Contact | 3309531354 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 5545 Poland OH 44514-0545 Ph: (330) 953-1354 | 819 Southwestern Run Ste 2 Poland OH 44514-3623 Ph: (330) 953-1354 |
| NPI Number | 1750605655 |
|---|---|
| Provider Enumeration Date | 03/22/2010 |
| Last Update Date | 11/13/2022 |
| Certification Date | 11/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750605655 | NPI | - | NPPES |
| 3072455 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6644 (Ohio) | Primary |
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