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150 Fairdale Ave Campbell OH 44405-1075 | |
(330) 207-3230 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 150 Fairdale Ave, Campbell, Ohio |
Authorized Official Name and Position | Lareane Nuby (THERAPIST) |
Authorized Official Contact | 3302073230 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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150 Fairdale Ave Campbell OH 44405-1075 Ph: (330) 207-3230 | 150 Fairdale Ave Campbell OH 44405-1075 Ph: (330) 207-3230 |
NPI Number | 1841611217 |
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Provider Enumeration Date | 01/02/2014 |
Last Update Date | 01/02/2014 |
Identifier | Type | State | Issuer |
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1841611217 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | S.0500644 (Ohio) | Primary |