Individual
ELIZABETH A MOLODETZ SCHLUETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN, CDCA, SWA
Contact information
Practice address
75 BANTING DR, GEORGETOWN, OH 45121-1460
(937) 378-4811
(937) 378-4812
Mailing address
2600 VICTORY PKWY, CINCINNATI, OH 45206-1711
(513) 751-7747
(513) 751-0180
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
W.0800082
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
080306
OH
164W00000X
Licensed Practical Nurse
Primary
PN.080934
OH
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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