Individual
MARY J HAREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1906 EDMAR ST, LOUISVILLE, OH 44641-2746
(330) 284-5474
Mailing address
PO BOX 59, LOUISVILLE, OH 44641-0059
(330) 284-5474
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
3650809
OH
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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