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Individual

MARY KAY DOTTERER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC-S

Contact information

Practice address
262 SOUTH AVE, TALLMADGE, OH 44278-2820
(330) 633-9474
Mailing address
2910 ALEXANDER RD, ATWATER, OH 44201-9729
(330) 325-7329

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E3631
OH

Other

Enumeration date
08/24/2016
Last updated
08/24/2016
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