Individual
ELIZABETH CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
511 PERRY ST, DEFIANCE, OH 43512-2123
(419) 782-9920
Mailing address
511 PERRY ST, DEFIANCE, OH 43512-2123
(419) 782-9920
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
RA.163015
OH
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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