Individual
ABIGAIL MORTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
511 PERRY ST, DEFIANCE, OH 43512-2123
(419) 782-9920
Mailing address
511 PERRY ST, DEFIANCE, OH 43512-2123
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.0700390
OH
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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