Individual
ELLEN TERRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.I.S.W
Contact information
Practice address
1010 N PROSPECT ST, BOWLING GREEN, OH 43402-1335
(419) 352-5387
Mailing address
PO BOX 29, BOWLING GREEN, OH 43402-0029
(419) 253-5387
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1303303
OH
Other
Enumeration date
10/14/2013
Last updated
10/14/2013
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