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Organization

KINDRED CONNECTIONS THERAPY CENTER

Active
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Organization

KINDRED CONNECTIONS THERAPY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MANICKA THOMAS LISW (CLINICAL DIRECTOR)
(937) 204-9013
Entity
Organization

Contact information

Practice address
4699 SALEM AVE, DAYTON, OH 45416
(937) 421-1268
Mailing address
4699 SALEM AVE, DAYTON, OH 45416-1724
(937) 421-1268

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1700639
OH

Other

Enumeration date
11/14/2017
Last updated
06/16/2018
About Stedi
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  • EDI platform