Individual
DOMINIQUE CELESTE WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
22425 W SR-51, GENOA, OH 43430
(419) 806-8833
Mailing address
22425 W SR-51, GENOA, OH 43430
(419) 806-8833
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.2005335
OH
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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