Individual
KAITLIN B DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
715 S PLUM ST, MARYSVILLE, OH 43040-1631
(937) 644-9192
Mailing address
95 JONES ST, WEST JEFFERSON, OH 43162-1520
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CDCA.165378
OH
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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