Individual
JILL SUZANNE PROUDFOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
126 W FRONT ST, PERRYSBURG, OH 43551-1465
(419) 779-5047
Mailing address
126 W FRONT ST, PERRYSBURG, OH 43551-1465
(419) 779-5047
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1801396
OH
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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