Provider Information for 1699814475
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Mrs. MICHELLE R PINNELL MSW LISW
Sex: Female
NPI: 1699814475
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1699814475 | ||||||||
| Enumeration Date | 2007-02-06 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 97 S LIBERTY ST POWELL, OH 43065 United States Phone: 614-985-4694 | Fax:614-985-0625 | ||||||||
| Primary Practice Address | 97 S LIBERTY ST POWELL, OH 43065 United States Phone: 614-985-4694 | Fax:614-985-4694 | ||||||||
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