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Individual

REDINA LEE COUNCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1 ELIZABETH PL FL 3, DAYTON, OH 45417-3445
(937) 903-3376
Mailing address
216 COLLEGE ST APT C, DAYTON, OH 45402-6903
(937) 409-0418

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
0002040
OH

Other

Enumeration date
08/23/2021
Last updated
08/23/2021
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