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Sandra Marleen Kinn-Southworth

Case Manager/Care Coordinator in Toledo, OH. Individual provider (NPI-1).

NPI number1962298463
StatusActive
Last updated in NPPESApr 19, 2025

Details

NPI
1962298463
Entity type
Individual (NPI-1)
Name
Mrs. Sandra Marleen Kinn-Southworth
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 19, 2025
Certification date
Apr 19, 2025
Last updated
Apr 19, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes
101YP2500X Counselor, Professional––
1041C0700X Social Worker, Clinical––

Practice location

2358 Pemberton Dr
Toledo, OH 43606-3147

Phone 419-297-2962

Mailing address

10400 Blacklick Eastern Rd
Pickerington, OH 43147-8235

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