Korissa Jean Van Over
NPI #1003657842 in Bowling Green, Ohio
Provider Information
- NPI Number
- 1003657842
- Entity Type
- Individual
- Name
- Korissa Jean Van Over
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jun 5, 2024
- Last Updated
- Jun 5, 2024
Practice Location
- Address
- 1084 S MAIN ST STE A
- City
- Bowling Green
- State
- Ohio
- ZIP Code
- 43402-4740
- Phone
- (419) 352-4624
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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