Individual
EVA MAE CLENDENEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1095 HARCOURT RD, MOUNT VERNON, OH 43050-4476
(740) 848-1010
Mailing address
3154 APPLE VALLEY DR, HOWARD, OH 43028-8411
(740) 263-0496
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2208325
OH
347C00000X
Private Vehicle
RP407287
OH
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
11/06/2020
Last updated
01/16/2023
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