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Individual

MARGIE W MORTIMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., L.P.C.C.

Contact information

Practice address
10979 REED HARTMAN HWY, SUITE 125, CINCINNATI, OH 45242-2800
(513) 321-7702
(513) 321-4703
Mailing address
2874 VICTORIA AVE, SUITE B, CINCINNATI, OH 45208-1431
(513) 321-7702
(513) 321-4703

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E2013
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-9H5565
HORIZON HEALTH
01
140050555854
HUMANA
01
2003888
CIGNA BEHAVIORAL HEALTH
01
22000000222920
ANTHEM
01
22000000222923
ANTHEM
01
5206754
AETNA
01
NL724
EMPIREBLUECROSSBLUESHIELD
NY
Enumeration date
10/15/2006
Last updated
07/08/2007
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