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Individual

DR. CHIARINA GAIL GREEN OWENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1815
(937) 641-4040
(937) 641-3066
Mailing address
1 CHILDRENS PLZ, DAYTON, OH 45404-1815
(937) 641-4040
(937) 641-3066

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
2154
TN
103T00000X
Psychologist
2881
MI
103T00000X
Psychologist
Primary
P.07583
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0455215
OH
01
3124762
BCBS
Enumeration date
10/16/2006
Last updated
10/07/2021
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