Individual
MS. ANN SULEK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
1345 N FOUNTAIN BLVD, SPRINGFIELD, OH 45504-1422
(937) 399-9500
(937) 399-2701
Mailing address
1345 N FOUNTAIN BLVD, SPRINGFIELD, OH 45504-1422
(937) 399-9500
(937) 399-2701
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E0004264
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000333503
ANTHEM
OH
01
—
0005434738
AETNA
OH
Enumeration date
11/02/2005
Last updated
07/08/2007
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