Individual
AUSTIN MACONNEL MABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6 PUBLIC SQ, GALION, OH 44833-1926
(567) 560-3583
Mailing address
2755 LEXINGTON AVE APT 56E, LEXINGTON, OH 44904-1471
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.1802333
OH
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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