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Individual

ANNY NDOUMBE ASONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1102 GOLDEN WILLOW PL, BLACKLICK, OH 43004-7175
(614) 598-5227
Mailing address
1102 GOLDEN WILLOW PL, BLACKLICK, OH 43004-7175
(614) 598-5227

Taxonomy

Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary

Other

Enumeration date
10/13/2022
Last updated
10/13/2022
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