Individual
MINDY ANNE HALDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4704 GOODMAN ST, GROVE CITY, OH 43123-3670
(614) 668-3442
Mailing address
4704 GOODMAN ST, GROVE CITY, OH 43123-3670
(614) 668-3442
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1226
OH
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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