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State of Ohio

NPI #1902218779 in London, Ohio

Provider Information

NPI Number
1902218779
Entity Type
Organization
Organization Name
State of Ohio
Primary Specialty
Community/Behavioral Health
Enumeration Date
May 28, 2014
Last Updated
May 28, 2014

Practice Location

Address
1580 STATE ROUTE 56 SW
Address 2
LONDON CORRECTIONAL INSTITUTION
City
London
State
Ohio
ZIP Code
43140-8623
Phone
(740) 852-2454

Authorized Official

Name
PRINCESS CRIPE, PSY.D.
Title
STAFF PSYCHOLOGIST
Phone
(740) 852-2454

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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