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Individual

SUSAN K LEGUIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
3700 KOLBE RD, BEHAVIORAL HEALTH UNIT, LORAIN, OH 44053-1611
(440) 960-4000
(440) 960-4017
Mailing address
PO BOX 636643, CINCINNATI, OH 45263-6643
(440) 960-4000
(440) 960-4017

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP09106
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2821781
OH
05
3025372
OH
Enumeration date
06/12/2007
Last updated
08/20/2015
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