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Individual

DEAN DICIACCA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3350 COLLINGWOOD BLVD, TOLEDO, OH 43610-1173
(419) 255-9585
Mailing address
3330 COLLINGWOOD BLVD, TOLEDO, OH 43610

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S0013496
OH

Other

Enumeration date
04/18/2013
Last updated
04/18/2013
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