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Individual

DALTON KINDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CDCA

Contact information

Practice address
4930 ENTERPRISE DR NW, WARREN, OH 44481-8706
(330) 787-0955
Mailing address
4930 ENTERPRISE DR NW, WARREN, OH 44481-8706
(330) 787-0955

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
172438
OH

Other

Enumeration date
01/02/2020
Last updated
01/02/2020
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