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Individual

MS. ANDREA L SYROKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CDCA

Contact information

Practice address
2301 IDA DR, TOLEDO, OH 43613-2147
(419) 343-9061
Mailing address
2301 IDA DR, TOLEDO, OH 43613-2147
(419) 343-9061

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
178871
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
178871
OH
Enumeration date
11/12/2021
Last updated
11/12/2021
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