Organization
DOMONICA COX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA HANEY (MANGAGING PARTNER)
(937) 299-9060
Entity
Organization
Contact information
Practice address
2555 S DIXIE DR, 108, KETTERING, OH 45409-1539
(937) 299-9060
(937) 299-3040
Mailing address
2555 S DIXIE DR, 108, KETTERING, OH 45409-1539
(937) 299-9060
(937) 299-3040
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E0602196
OH
Other
Enumeration date
02/10/2012
Last updated
06/11/2012
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