Individual
CALVIN HOLLAND ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 S IRWIN, HOLLAND, OH 43528
(567) 703-9064
Mailing address
630 MACKOW DR, TOLEDO, OH 43607-3159
(419) 297-2923
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.166587
OH
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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