Individual
MS. MICHELLE EILEEN MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1526 REPUBLIC ST, CINCINNATI, OH 45202-7016
(513) 242-7600
Mailing address
1526 REPUBLIC ST, CINCINNATI, OH 45202-7016
(513) 313-1608
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/24/2015
Last updated
12/11/2018
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