Individual
AUTUMN NICOLE DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
INDEPENDENT PROVIDER
Contact information
Practice address
438 GLENWOOD AVE, YOUNGSTOWN, OH 44502-1509
(330) 937-2387
Mailing address
438 GLENWOOD AVE, YOUNGSTOWN, OH 44502-1509
(330) 937-2387
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
TN078183
OH
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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