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Individual

ANTHONY J GILBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CDCA

Contact information

Practice address
4977 NORTHCUTT PL, DAYTON, OH 45414-3839
(937) 387-6395
Mailing address
4977 NORTHCUTT PL, DAYTON, OH 45414-3839

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.179687
OH
106S00000X
Behavior Technician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1326012360
OH
Enumeration date
05/21/2020
Last updated
02/09/2022
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