Individual
ACHANTE HAYWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
416 W STATE ST STE 200, FREMONT, OH 43420-2577
(419) 552-1882
(419) 616-0400
Mailing address
621 NAPOLEON ST, FREMONT, OH 43420-2422
(567) 280-6419
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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