Individual
ANGELINA MAE WITHROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1815 W 8TH ST, ASHTABULA, OH 44004
(440) 902-0947
Mailing address
1815 W 8TH ST, ASHTABULA, OH 44004-2851
(440) 902-0947
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171M00000X
—
OH
Enumeration date
09/04/2025
Last updated
09/04/2025
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