Individual
CAROL BORNHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 S 4TH AVE, SIDNEY, OH 45365-9029
(937) 497-2210
Mailing address
750 S 4TH AVE, SIDNEY, OH 45365-9029
(937) 497-2210
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH3058662
OH
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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