Individual
MISS ABBEY ENDICOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
387 LOCUST FORGE LN, LEBANON, OH 45036-7604
(937) 268-6511
(937) 267-7529
Mailing address
387 LOCUST FORGE LN, LEBANON, OH 45036-7604
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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