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Malissa Higginbotham

Social Worker in Ashland, OH. Individual provider (NPI-1).

NPI number1275200750
StatusActive
Last updated in NPPESJun 11, 2024

Details

NPI
1275200750
Entity type
Individual (NPI-1)
Name
Malissa Higginbotham
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 24, 2021
Certification date
Jun 11, 2024
Last updated
Jun 11, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social WorkerS.2308983OHYes

Practice location

2233 Rocky Ln
Ashland, OH 44805-4701

Phone 419-281-3716

Mailing address

2685 Armstrong Rd
Wooster, OH 44691-9041

Phone 330-345-7949

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