Individual
CHARLES RANDOLPH BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(937) 276-2176
(937) 276-2048
Mailing address
1 ELIZABETH PLACE, DAYTON, OH 45417
(937) 276-2176
(937) 276-2048
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/07/2017
Last updated
07/21/2022
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