Individual
MISS MIRANDA LOUISE ETHERINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
1320 WOODMAN DR, SUITE 200, DAYTON, OH 45432-3497
(937) 223-1781
(937) 424-8656
Mailing address
1320 WOODMAN DR, SUITE 200, DAYTON, OH 45432-3497
(937) 223-1781
(937) 424-8656
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.0700385-TRNE
OH
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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