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Individual

MS. RENE ANSEVIN EDGELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MED

Contact information

Practice address
950 WINDHAM CT, SUITE 4, BOARDMAN, OH 44512-5083
(330) 629-2955
Mailing address
5380 STRUTHERS RD, STRUTHERS, OH 44471-2167
(412) 860-8701

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
05/05/2009
Last updated
03/01/2013
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