Most Relevant Information
Provider Data
| NPI Number: | 1003591959 |
| Provider Name: | ERIN POULSON |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/19/2023 |
| Last Updated: | 06/19/2023 |
Provider Practice Location
905 NEBRASKA AVE
TOLEDO
OH
436074222
Practice Location Phone/Fax
| Phone: | 4198417701 |
| Fax: |
Provider Mailing Location
2005 ASHLAND AVE
TOLEDO
OH
436201703
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |