Individual
DAN KOESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
1910 SOMERVILLE CT, MAUMEE, OH 43537-2217
(567) 288-3324
Mailing address
701 JEFFERSON AVE STE 101, TOLEDO, OH 43604-6956
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161684
OHIO BOARD OF CHEMICAL DEPENDANCY
OH
Enumeration date
05/22/2017
Last updated
05/22/2017
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