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Individual

ELIZABETH MARGARETT ENTERLINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
165 E PARK AVE, NILES, OH 44446-2352
(330) 544-8005
(330) 544-9379
Mailing address
6788 POLAND CENTER DR, POLAND, OH 44514-2249
(330) 207-0147

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S0022405
OH

Other

Enumeration date
10/30/2017
Last updated
10/30/2017
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