Individual
DOMINIQUE DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 ELIZABETH PL STE RT-1, DAYTON, OH 45417-3445
(937) 276-2176
Mailing address
1113 W 3RD ST APT A, DAYTON, OH 45402-6813
(937) 903-7909
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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