Individual
DEEDRA DWYER-MINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 W BROAD ST, COLUMBUS, OH 43223-1297
(614) 752-0333
Mailing address
2200 W BROAD ST, COLUMBUS, OH 43223-1297
(614) 752-0333
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1.0005210
OH
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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