Individual
DORI A DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
2228 HAYES AVE STE C, FREMONT, OH 43420-2699
(567) 455-7206
(567) 314-0020
Mailing address
915 TUCKER LN APT B, FREMONT, OH 43420-5803
(567) 455-7206
(567) 314-0020
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0700036
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0081830
—
OH
Enumeration date
06/04/2010
Last updated
12/06/2024
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