Individual
CLINT DORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7015 SPRING MDWS W STE 102, HOLLAND, OH 43528-9299
(419) 491-1180
Mailing address
815 CARVER BLVD, TOLEDO, OH 43607-2246
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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