Individual
KYRSTIN ANNE DULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1033 LARCHWOOD RD, MANSFIELD, OH 44907-2424
(419) 747-4122
(419) 747-4126
Mailing address
715 STATE ROUTE 96 E, SHILOH, OH 44878-9131
(419) 961-4068
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
UT013785
OH
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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