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Individual

MALITSA ANASTAIA EWRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
700 LIBERTY LN, WEST CARROLLTON, OH 45449-2135
(614) 844-3800
Mailing address
700 LIBERTY LN, WEST CARROLLTON, OH 45449-2135
(614) 844-3800

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2615030
OH
Enumeration date
01/20/2022
Last updated
07/18/2025
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