Individual
JANICE ANSELMO LAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4641 FULTON DR NW, CANTON, OH 44718
(330) 433-6075
Mailing address
1045 W HIGH AVE, NEW PHILADELPHIA, OH 44663-2071
(330) 308-5432
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L1600712
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-2633765
MEDI-CAL
CA
Enumeration date
10/19/2011
Last updated
11/12/2019
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