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1861896953
MINDY MACK
PORT CLINTON, OH
NPI
1861896953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OH C1100298)
Enumeration Date
2014-10-17
Last Update Date
2014-10-17
Business Address
-- MINDY MACK
335 BUCKEYE BLVD
PORT CLINTON, OH 43452-1423
Phone number: 419-734-2942
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Mailing Address
-- MINDY MACK
1925 HAYES AVE
SANDUSKY, OH 44870-4737
Phone number: 419-557-7400
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