Most Relevant Information
Provider Data
| NPI Number: | 1003370669 |
| Provider Name: | MARY LEGG |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/29/2019 |
| Last Updated: | 01/20/2023 |
Provider Practice Location
1300 E PAINT ST
WASHINGTON COURT HOUSE
OH
431601676
Practice Location Phone/Fax
| Phone: | 7403356935 |
| Fax: |
Provider Mailing Location
1300 E PAINT ST
WASHINGTON COURT HOUSE
OH
431601676
Provider Mailing Phone/Fax
| Phone: | 7403356935 |
| Fax: |