MRS. Ophelia Mailloux, LISW-S

NPI #1710106984 in Mansfield, Ohio

Provider Information

NPI Number: 1710106984
Entity Type: Individual
Name: MRS. Ophelia Mailloux, LISW-S
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LISW-S
Enumeration Date: Apr 25, 2007
Last Updated: Aug 1, 2012

Practice Location

Address: 600 W. THIRD STREET
City: Mansfield
State: Ohio
ZIP Code: 44906-2633
Phone: (419) 522-6191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X
Social Worker	104100000X	Primary

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