Individual
DIANE DEJULIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 5TH AVE, YOUNGSTOWN, OH 44504-1728
(330) 480-4384
Mailing address
535 MARMION AVE, YOUNGSTOWN, OH 44502-2323
(330) 782-5664
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C 451
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0803312
—
OH
Enumeration date
02/16/2012
Last updated
02/16/2012
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