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General NPI Number Information
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NPI Number | 1679794879
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Entity Type | Individual
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Provider Name | JUDEE L MULHOLLEN ED.D., M.ED., LSW
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Gender | Female
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 08/16/2024
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Provider Practice Location Address
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Address Line | 10 PENFIELD AVE
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City | AKRON
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State | OH
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Zip | 44310-2912
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Country | US
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Telephone | 330-762-6110
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Fax | 330-253-6810
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Provider Business Mailing Address
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Address Line | 12115 LISA ST NW
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City | HARTVILLE
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State | OH
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Zip | 44632-9637
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Country | US
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Telephone | 330-354-9543
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | S-0028458
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License Number State | OH
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