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Individual

ELIZABETH BRANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC-CR, ATR

Contact information

Practice address
12041 RAVENNA RD, CHARDON, OH 44024-7008
(440) 286-7154
Mailing address
2379 HUBBARD RD, MADISON, OH 44057-2523

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C1200374
OH

Other

Enumeration date
03/08/2016
Last updated
03/08/2016
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