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Individual
CARLYN LOVE
Active
Individual
CARLYN LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473276
—
OH
Enumeration date
05/31/2007
Last updated
04/10/2019
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