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Individual

MR. DAVID GUARDIOLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW, LISW

Contact information

Practice address
1235 CARBON ST, FREMONT, OH 43420-1727
(567) 334-1989
Mailing address
1235 CARBON ST, FREMONT, OH 43420-1727

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I1101260
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12315045
CAQH
01
1376829986
NPI
Enumeration date
10/26/2011
Last updated
10/29/2025
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