Individual
PRUDENCE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
723 PHILLIPS AVE BLDG E, TOLEDO, OH 43612-1351
(419) 407-5546
Mailing address
723 PHILLIPS AVE BLDG E, TOLEDO, OH 43612-1351
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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