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Individual
MARY E HEAD
Active
Individual
MARY E HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, LSW, LCDCIII
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.162301
OH
104100000X
Social Worker
Primary
S.2005592
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0269524
—
OH
05
—
0421925
—
OH
Enumeration date
09/27/2017
Last updated
02/26/2026
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