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Individual

ANNIE B. MUCHMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
3333 BURNET AVE, MLC 6019, CINCINNATI, OH 45229-3026
(513) 636-4124
(513) 636-4283
Mailing address
3333 BURNET AVE, MLC 6019, CINCINNATI, OH 45229-3026
(513) 636-4124
(513) 636-4283

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.0900010
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
184607
MEDICARE GROUP NUMBER
KY
Enumeration date
05/18/2006
Last updated
11/10/2015
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