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Individual

ASHLEE AUSTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
434 MEADOWBROOK AVE SE, WARREN, OH 44483-6331
(234) 430-9753
Mailing address
434 MEADOWBROOK AVE SE, WARREN, OH 44483-6331
(234) 430-9753

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
172A00000X
Driver
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
TM321667
DRIVER LICENSE
OH
Enumeration date
07/28/2021
Last updated
03/20/2023
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