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Individual
MS. DIEDRE ROSE FLEMING
Active
Individual
MS. DIEDRE ROSE FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MSW, LICDC, LSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII.161336
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162024
OH
101YM0800X
Mental Health Counselor
S.2005340
OH
Other
Enumeration date
04/13/2018
Last updated
06/13/2024
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