Individual
MARY ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 N CHERRY ST, EATON, OH 45320-1802
(937) 336-5052
Mailing address
120 N CHERRY ST, EATON, OH 45320-1802
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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