Individual
MISS ADDISON CONNOR ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 N 3RD ST STE 200, NEWARK, OH 43055-5550
(740) 349-7511
Mailing address
15 N 3RD ST STE 200, NEWARK, OH 43055-5550
(740) 349-7511
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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