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Individual

MAKAYLA ROSE DEMOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
76 ASHWOOD DR, TIFFIN, OH 44883-1908
(419) 448-9440
Mailing address
1925 HAYES AVE, SANDUSKY, OH 44870-4737
(419) 557-5177

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.2305676
OH
101Y00000X
Counselor
Primary
E.2606080
OH
171M00000X
Case Manager/Care Coordinator
390200000X
Student in an Organized Health Care Education/Training Program
C.2204435-TRNE
OH

Other

Enumeration date
06/24/2021
Last updated
01/07/2026
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