Individual
MARISSA LYNN DREIZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28 NETHERDALE RD, DAYTON, OH 45404-2137
(937) 671-0374
Mailing address
28 NETHERDALE RD, DAYTON, OH 45404-2137
(937) 671-0374
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.1400337-TRNE
OH
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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