Individual
MARY ELISE WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.1100290
OH
225700000X
Massage Therapist
33.013669
OH
Other
Enumeration date
07/21/2012
Last updated
04/26/2017
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