Individual
MRS. DIANNE MOULDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., P.C.
Contact information
Practice address
1303 W MAPLE ST, STE. 103, NORTH CANTON, OH 44720-2858
(330) 966-8677
(330) 966-6511
Mailing address
1303 W MAPLE ST, STE. 103, NORTH CANTON, OH 44720-2858
(330) 966-8677
(330) 966-6511
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C5156
OH
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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