Individual
CRYSTAL DOUGHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11537 CHESTER RD, CINCINNATI, OH 45246-2801
(513) 301-9370
Mailing address
11537 CHESTER RD, CINCINNATI, OH 45246-2801
(513) 301-9370
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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