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Individual
ELLEN C WASHENBERGER
Active
Individual
ELLEN C WASHENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCMH
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPCMH 2114
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6575960
—
SD
Enumeration date
10/21/2006
Last updated
09/17/2019
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