Individual
ANGELA SUE DAMRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
4747 MONROE ST, TOLEDO, OH 43623-4307
(419) 740-5709
Mailing address
5830 STEFFENS AVE, TOLEDO, OH 43623-1226
(419) 255-9585
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.174939
OH
247200000X
Other Technician
—
—
Other
Enumeration date
11/28/2018
Last updated
03/09/2021
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