Susan E Fouts, QMHS-BA
Community Health Worker in New Philadelphia, OH. Individual provider (NPI-1).
NPI number1356830582
StatusActive
Last updated in NPPESMay 3, 2018
Details
- NPI
- 1356830582
- Entity type
- Individual (NPI-1)
- Name
- Susan E Fouts
- Credential
- QMHS-BA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 3, 2018
- Last updated
- May 3, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
1433 5th St NwNew Philadelphia, OH 44663-1223
Phone 440-260-8300
Mailing address
434 Eastland RdBerea, OH 44017-1217
Phone 440-234-2006
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