| NPI | 1700232261 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | SUSAN MARIE LANE-BALDWIN Sole Proprietor 419-591-8093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH 00007759-SUPV) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2016-06-28 |