Individual
DMITRIY FRIDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
824 BOWTOWN RD, DELAWARE, OH 43015-9661
(740) 877-5072
Mailing address
824 BOWTOWN RD, DELAWARE, OH 43015-9661
(740) 877-5072
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310940189
—
OH
Enumeration date
08/16/2017
Last updated
07/21/2022
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