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1417417411
MICKI CHURCH
COLUMBUS, OH
NPI
1417417411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-03-25
Last Update Date
2019-03-25
Business Address
MICKI CHURCH QMHS BA CMS BA
195 N GRANT AVE
COLUMBUS, OH 43215-2855
Phone number: 440-260-8300
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Mailing Address
MICKI CHURCH QMHS BA CMS BA
434 EASTLAND RD
BEREA, OH 44017-1217
Phone number: 440-234-2006
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