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Individual

MS. JOANN MARION DZIEWIATKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PC

Contact information

Practice address
1010 N PROSPECT ST, BOWLING GREEN, OH 43402-1335
(419) 352-5387
(419) 352-9605
Mailing address
1010 N PROSPECT ST, BOWLING GREEN, OH 43402-1335
(419) 352-5387
(419) 352-9605

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C4385
OH
101YM0800X
Mental Health Counselor
C4385
OH

Other

Enumeration date
03/03/2008
Last updated
03/03/2008
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