Individual
AMANDA DOMINIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
213 RUTHERFORD AVE, FINDLAY, OH 45840-4224
(740) 658-3362
(567) 210-2640
Mailing address
213 RUTHERFORD AVE, FINDLAY, OH 45840-4224
(740) 658-3362
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.2203193
OH
Other
Enumeration date
01/18/2019
Last updated
03/04/2024
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