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Individual

MS. GERI H ELLINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LSW

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S0015673
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
INSURANCE
OH
Enumeration date
04/19/2011
Last updated
04/19/2011
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