Individual
DEBORAH ANN CLEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2412 FOREST HOME AVE, DAYTON, OH 45404-2410
(937) 212-9606
Mailing address
2412 FOREST HOME AVE, DAYTON, OH 45404-2410
(937) 212-9606
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5718622
—
OH
Enumeration date
11/16/2020
Last updated
10/20/2022
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