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Individual

ELIZABETH ANNE MCCLURE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
555 CINCINNATI BATAVIA PIKE, CINCINNATI, OH 45244-1557
(513) 752-1555
(513) 753-2144
Mailing address
555 CINCINNATI BATAVIA PIKE, CINCINNATI, OH 45244-1557
(513) 752-1555
(513) 753-2144

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C.1300348
OH
101YM0800X
Mental Health Counselor
Primary
C.1300348
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2846595
OH
Enumeration date
04/21/2016
Last updated
04/21/2016
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