Individual
ELIJAH MENSAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1033 LARCHWOOD RD, MANSFIELD, OH 44907-2424
(419) 747-4122
Mailing address
1033 LARCHWOOD RD, MANSFIELD, OH 44907-2424
(419) 747-4122
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
05/11/2021
Last updated
06/16/2023
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