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Individual

MATTIE VAIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.N.

Contact information

Practice address
629 ROSELAWN AVE NE, WARREN, OH 44483-5326
(330) 219-2374
Mailing address
629 ROSELAWN AVE NE, WARREN, OH 44483-5326
(330) 219-2374

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
PN116132
OH

Other

Enumeration date
07/22/2014
Last updated
07/22/2014
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