Mary Susana Thaxton

NPI #1780283598 in Kenton, Ohio

Provider Information

NPI Number: 1780283598
Entity Type: Individual
Name: Mary Susana Thaxton
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Oct 22, 2020
Last Updated: Oct 22, 2020

Practice Location

Address: 775 E ELIZA ST
City: Kenton
State: Ohio
ZIP Code: 43326-1486
Phone: (419) 675-2243

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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