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Individual

DAWSON PAUL KNIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCDCIII

Contact information

Practice address
2801 C CT, ASHTABULA, OH 44004-4577
(440) 998-4210
(440) 998-2247
Mailing address
2801 C CT, ASHTABULA, OH 44004-4577
(440) 998-4210
(440) 998-2247

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
161534
OH

Other

Enumeration date
12/08/2017
Last updated
12/08/2017
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