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Individual
MS. MANDY LEIGH MYERS
Active
Individual
MS. MANDY LEIGH MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDCII
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCII161329
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0274722
—
OH
Enumeration date
01/29/2014
Last updated
11/25/2019
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