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Individual

MARY K SOEHNLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
624 MARKET AVE N, CANTON, OH 44702-1017
(330) 493-4553
(330) 493-3761
Mailing address
3684 DUEBER RD NE, EAST SPARTA, OH 44626-9626
(330) 413-9293

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1800947
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
TP071162
DRIVERS LICENSE
OH
Enumeration date
02/05/2018
Last updated
02/05/2018
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