Individual
ASHLEY NICOLE DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5726 SOUTHWYCK BLVD STE 200, TOLEDO, OH 43614-1510
(419) 865-5690
(419) 865-5691
Mailing address
4716 LUANN AVE, TOLEDO, OH 43623-3854
(419) 376-6704
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CDCA.171241
OH
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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