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Individual

EDWARD OWSLEY-LONGINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3650 MUDDY CREEK RD, CINCINNATI, OH 45238-2057
(513) 347-0375
(513) 347-0376
Mailing address
PO BOX 396, SPRINGBORO, OH 45066-0396

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
OH
390200000X
Student in an Organized Health Care Education/Training Program
C.2103441-TRNE
OH

Other

Enumeration date
08/02/2022
Last updated
07/18/2023
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