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Individual

DR. ELLEN J. ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D

Contact information

Practice address
836 W SOUTH BOUNDARY ST, PERRYSBURG, OH 43551-5200
(419) 874-3201
(419) 875-1989
Mailing address
1108 CLARK ST, BOWLING GREEN, OH 43402-3517
(419) 353-3361
(419) 874-1989

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E00001889
OH

Other

Enumeration date
03/26/2007
Last updated
07/08/2007
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