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Individual

DOUGLAS BRADY METZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11085 MONTGOMERY RD, CINCINNATI, OH 45249-2394
(513) 312-7103
Mailing address
436 LIBERTY HL # 1, CINCINNATI, OH 45202-0964
(513) 312-7103

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SP.00663
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SP.00663
OH
Enumeration date
08/09/2021
Last updated
08/09/2021
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