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Individual

MRS. ELISABETH ELLEN BURNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW, MSW

Contact information

Practice address
3260 OXFORD MILLVILLE RD STE B, OXFORD, OH 45056-9430
(513) 454-1111
Mailing address
PO BOX 837, HAMILTON, OH 45012-0837
(513) 454-1460

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1904251
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0412227
OH
Enumeration date
07/30/2020
Last updated
01/09/2025
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