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1083186803
JILL SUZANNE PROUDFOOT
PERRYSBURG, OH
NPI
1083186803
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: OH C.1801396)
Enumeration Date
2018-12-18
Last Update Date
2018-12-18
Business Address
JILL SUZANNE PROUDFOOT
126 W FRONT ST
PERRYSBURG, OH 43551-1465
Phone number: 419-779-5047
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Mailing Address
JILL SUZANNE PROUDFOOT
126 W FRONT ST
PERRYSBURG, OH 43551-1465
Phone number: 419-779-5047
Copy
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PERRYSBURG THERAPY LLC