Individual
ANDRE TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2621 DRYDEN RD, MORAINE, OH 45439-1661
(937) 293-1945
Mailing address
2621 DRYDEN RD, MORAINE, OH 45439-1661
(937) 293-1945
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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