Individual
ELIZABETH FREY MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3080 CLIFFSIDE DR, COPLEY, OH 44321-2250
(330) 714-4935
Mailing address
3080 CLIFFSIDE DR, COPLEY, OH 44321-2250
(330) 714-4935
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
000880
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RR737185
DRIVERS LICENSE NUMBER
OH
Enumeration date
12/19/2018
Last updated
12/19/2018
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