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Individual

DONNA PITTS-ABAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
210 N MAIN ST, DAYTON, OH 45402-1234
(419) 999-2010
(419) 999-6284
Mailing address
1100 SHAWNEE RD, LIMA, OH 45805-3583
(419) 999-2010
(419) 999-6284

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
S.0017086
OH
104100000X
Social Worker
Primary
S.0017086
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0279240
OH
Enumeration date
04/20/2016
Last updated
06/01/2023
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