Individual
DAIRYALE GUEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
605 S PATTERSON BLVD, DAYTON, OH 45402-2649
(937) 395-4600
Mailing address
7976 RUSTIC WOODS DR, HUBER HEIGHTS, OH 45424-1901
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/15/2019
Last updated
06/27/2019
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