Individual
ANGIE ELLEN BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
7320 STATE ROUTE 108 STE A, WAUSEON, OH 43567-8201
(419) 335-3732
Mailing address
7320 STATE ROUTE 108 STE A, WAUSEON, OH 43567-8201
(419) 335-3732
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
I.0009678
OH
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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