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Individual

MS. ERIN H COUNCILMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3 COVENTRY LN, ATHENS, OH 45701-3717
(740) 517-1224
Mailing address
167 POMEROY RD, ATHENS, OH 45701-9478
(740) 517-1224

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
08/21/2023
Last updated
08/21/2023
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