Individual
PEGGE SINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
233 E MORRISON ST, EDGERTON, OH 43517-9302
(419) 298-3377
Mailing address
233 E MORRISON ST, EDGERTON, OH 43517-9302
(419) 298-3377
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
04-2260
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-2260
ADULT CARE FACILITIY
OH
Enumeration date
02/24/2014
Last updated
02/25/2014
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