Individual
FANTA NIANGADOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1045 KLOTZ RD, BOWLING GREEN, OH 43402-4820
(419) 352-7588
Mailing address
33 BRONSON AVE, TOLEDO, OH 43608-1835
(678) 770-2492
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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