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Individual

DAWN RENEE JODREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
25 WHITNEY DR, MILFORD, OH 45150-8402
(513) 941-4999
Mailing address
6460 HARRISON AVE STE 200, CINCINNATI, OH 45247-7958
(513) 941-4999

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.185788
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.190027
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0028472
OH
Enumeration date
09/20/2023
Last updated
11/12/2024
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