Individual
MARY ANZELMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
6140 S BROADWAY, LORAIN, OH 44053-3821
(440) 204-4100
(440) 233-4468
Mailing address
5478 WATERFORD CIR, SHEFFIELD VILLAGE, OH 44035-1499
(440) 225-9262
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C-0501020
OH
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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