Elissa Nichole Hostetter

NPI #1003160631 in Moraine, Ohio

Provider Information

NPI Number: 1003160631
Entity Type: Individual
Name: Elissa Nichole Hostetter
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Nov 5, 2012
Last Updated: Nov 5, 2012

Practice Location

Address: 3095 KETTERING BLVD
City: Moraine
State: Ohio
ZIP Code: 45439-1983
Phone: (937) 534-1384

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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