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Individual

CAROLYN HUDDLE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
131 N EWING ST, UNIT B, LANCASTER, OH 43130-3383
(740) 689-6700
(740) 689-6702
Mailing address
1621 VALLEY FORGE DR, LANCASTER, OH 43130-1237

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I 0004321
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
I 0004321
LICENSE
OH
Enumeration date
02/10/2006
Last updated
07/08/2007
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