Individual
DOLORES NINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 BLOSSOM CENTRE BLVD, WILLARD, OH 44890-9317
(567) 560-3586
Mailing address
427 W TIFFIN ST, WILLARD, OH 44890-1252
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.163843
OH
Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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