| Doctor Name: | HOLLY SUZANNE EZZONE |
| NPI Number: | 1578851333 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LISW-S, BCD |
| License Number: | I.1100211 |
| Business Practice Address: | 6441 South Main Street North Kingsville, OH - 440680501 |
| Business Phone Number: | 4408127204 |
| Business Fax Number: | |
| Mailing Address: | 7552 Harmon Rd, CONNEAUT |
| State: | OH |
| Postal Code: | 440303136 |
| Phone Number: | 4408127204 |
| Fax Number: | |
| NPI Enumeration Date: | 07/14/2011 |
| NPI Last Update Date: | 05/20/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | I.1100211 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |