Individual
LARISA G. MCHUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MT-BC
Contact information
Practice address
439 CORONADO DR, FAIRBORN, OH 45324-5710
(937) 878-0231
Mailing address
439 CORONADO DR, FAIRBORN, OH 45324-5710
(937) 878-0231
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/07/2007
Last updated
12/07/2007
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