Individual
MS. ANDREA ANTCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2650 NETHERLAND DR, DAYTON, OH 45431-7735
(321) 210-5678
Mailing address
2650 NETHERLANBD DR., DAYTON, OH 45430
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OH
Other
Enumeration date
01/04/2016
Last updated
07/22/2016
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