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Individual

ALEX JOHN CLAUSSEN I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4293 MONROE ST, TOLEDO, OH 43606-1943
(419) 474-6021
Mailing address
1100 SHAWNEE RD, LIMA, OH 45805-3583
(419) 999-2010
(419) 999-6284

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.2303272
OH
104100000X
Social Worker
C.2002528
OH
104100000X
Social Worker
E.2303272
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0311057
OH
Enumeration date
07/26/2018
Last updated
04/01/2024
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