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Individual

DR. DEBRA K SOWALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
28 E RAHN RD, STE 105, KETTERING, OH 45429-5461
(937) 434-6840
(937) 436-9408
Mailing address
28 E RAHN RD, STE 105, KETTERING, OH 45429-5461
(937) 434-6840
(937) 436-9408

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
E0001388
OH
103T00000X
Psychologist
Primary
3417
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0541775
OH
Enumeration date
07/12/2005
Last updated
09/30/2011
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