Individual
SUSAN ELAINE JULIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103A CLUBHOUSE LN, LEBANON, OH 45036-8108
(513) 313-8906
(513) 492-6468
Mailing address
103A CLUBHOUSE LN, LEBANON, OH 45036-8108
(513) 313-8906
(513) 492-6468
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
2900301
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2900301
—
OH
Enumeration date
06/13/2014
Last updated
06/13/2014
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