Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003257486 |
---|---|
Provider Name | Mrs. Anne Marie Case |
First Address | Troy, OH 45373-2918 |
Second Address | Troy, OH 45373-3047 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2013 |
Last Update Date | 09/09/2013 |