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Individual

DANA BREEDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW-S, LCSW

Contact information

Practice address
201 READING RD, MASON, OH 45040-1666
(513) 398-2551
(513) 459-7300
Mailing address
107 OREGONIA RD FL 2, LEBANON, OH 45036-3903
(513) 695-2411
(513) 695-2309

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I700231-SUPV
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000531450
ANTHEM PIN
OH
01
269354785001
MEDICAL MUTUAL LPIN
OH
Enumeration date
08/27/2007
Last updated
07/28/2023
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