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6114 Marion Waldo Rd Marion OH 43302-9153 | |
| (614) 591-8516 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 6114 Marion Waldo Rd, Marion, Ohio |
| Authorized Official Name and Position | Taylor Buck (PMHNP-BC) |
| Authorized Official Contact | 6145918516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6114 Marion Waldo Rd Marion OH 43302-9153 Ph: () - | 6114 Marion Waldo Rd Marion OH 43302-9153 Ph: (614) 591-8516 |
| NPI Number | 1629848429 |
|---|---|
| Provider Enumeration Date | 01/03/2024 |
| Last Update Date | 01/31/2024 |
| Certification Date | 01/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629848429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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