Individual
DEGARRICA D DITMARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 PUBLIC SQ, GALION, OH 44833-1926
(567) 560-3583
Mailing address
74 CEDARGATE CT, GALION, OH 44833-1209
(901) 626-6912
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/28/2018
Last updated
08/12/2019
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