Individual
SUSAN DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOO
Contact information
Practice address
3295 ROHRER RD, WADSWORTH, OH 44281-8313
(440) 610-3504
Mailing address
3295 ROHRER RD, WADSWORTH, OH 44281-8313
(440) 610-3504
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
4946006
OH
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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