Individual
MARY BURGESS TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, PC, CFC
Contact information
Practice address
777 S WASHINGTON ST, TIFFIN, OH 44883-3325
(419) 448-4094
(419) 448-4095
Mailing address
34 GLENVIEW TERRACE, TIFFIN, OH 44883
(419) 934-0330
(419) 448-4095
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C-0900022
OH
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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