Individual
GEORGIA OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
771 N FREEDOM ST, RAVENNA, OH 44266-2470
(330) 296-5552
Mailing address
771 N FREEDOM ST, RAVENNA, OH 44266-2470
(330) 296-5552
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2309162
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007002
—
OH
Enumeration date
05/19/2023
Last updated
05/19/2023
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