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Individual

DR. DENISE ELIZABETH RABOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5350
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2065198
OH
01
293973000
MIS NUMBER
OH
Enumeration date
01/23/2007
Last updated
10/25/2011
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