Individual
DUSTIN COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
631 EAST ST. STREET, GEORGETOWN, OH 45121-1437
(937) 378-6387
(937) 378-4253
Mailing address
424 WARDS CORNER RD STE 200, LOVELAND, OH 45140-6966
(513) 576-7700
(513) 576-1020
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1600773
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0273142
—
OH
Enumeration date
08/02/2017
Last updated
02/21/2022
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