Individual
KELLIE NUZUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
767 COLUMBUS AVE, LEBANON, OH 45036
(937) 557-1738
Mailing address
1797 RYAN RD, SPRINGBORO, OH 45066-7737
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/04/2018
Last updated
07/23/2018
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