Individual
KATIE ELIZABETH MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7140 PORT SYLVANIA DR, TOLEDO, OH 43617-1176
(567) 408-7242
Mailing address
7140 PORT SYLVANIA DR, TOLEDO, OH 43617-1176
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CDCA.177815
OH
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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