Individual
MRS. COURTNEY CORINNE HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
607 N PIKE ST, ANNA, OH 45302-9806
(937) 394-2584
Mailing address
9477 STATE ROUTE 235 N, QUINCY, OH 43343-9507
(937) 441-8685
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
21579661
OH
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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