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Individual

MRS. MARIE JULIE CLENDENEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PCC

Contact information

Practice address
508 E WARREN ST, LEBANON, OH 45036-1955
(937) 477-4828
(937) 339-8620
Mailing address
508 E WARREN ST, LEBANON, OH 45036-1955
(937) 477-4828
(937) 339-8620

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E0006402
OH
101YS0200X
School Counselor
OH1511140
OH

Other

Enumeration date
01/15/2009
Last updated
03/31/2019
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