Individual
DWAIN ALLEN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
209 LINDEN AVE APT 3, DAYTON, OH 45403-2581
(937) 253-1680
Mailing address
732 BECKMAN ST, DAYTON, OH 45410-2165
(937) 253-1680
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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