Individual
DOMINA M MATTHEWS PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1059 N MARKET ST, TROY, OH 45373-1433
(937) 335-4543
(937) 339-8371
Mailing address
1059 N MARKET ST, TROY, OH 45373-1433
(937) 335-4543
(937) 339-8371
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S0014706
OH
Other
Enumeration date
08/06/2008
Last updated
03/08/2017
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