Individual
ELAINE SURBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
741 SCHOLL RD, MANSFIELD, OH 44907-1571
(419) 774-6834
Mailing address
741 SCHOLL RD, MANSFIELD, OH 44907-1571
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
933555
OH
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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