Individual
THOMAS MANDRYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8437 CYPRESS TRL, WAYNESVILLE, OH 45068-8398
(937) 885-4825
Mailing address
8437 CYPRESS TRL, WAYNESVILLE, OH 45068-8398
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH1164587
OH
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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