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Individual
ELIZABETH FEARN
Active
Individual
ELIZABETH FEARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.163804
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.167020
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII.161902
OH
Other
Enumeration date
05/17/2019
Last updated
12/04/2024
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