Individual
DOMINIQUE RENEE CRIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1760 MANLEY RD, MAUMEE, OH 43537-9400
(419) 573-5257
Mailing address
1760 MANLEY RD, MAUMEE, OH 43537-9400
(419) 573-5257
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
181937
OH
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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