Individual
ANDRE DESHAUN DODSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7603 FIRST PL, BEDFORD, OH 44146-6703
(440) 703-4786
Mailing address
7603 FIRST PL, BEDFORD, OH 44146-6703
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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