Individual
MADELINE RAE CLOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
11156 CANAL RD STE A, CINCINNATI, OH 45241-5816
(513) 772-6166
Mailing address
11156 CANAL RD STE A, CINCINNATI, OH 45241-5816
(513) 772-6166
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/24/2018
Last updated
05/10/2022
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