Individual
MS. DONNA DOLORES FEDOROCSKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PC
Contact information
Practice address
1 ELIZABETH PL, SUITE 111, DAYTON, OH 45408-1445
(937) 228-0579
Mailing address
907 WIND FOREST DR, SPRINGBORO, OH 45066-9017
(937) 885-6505
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C0500605
OH
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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