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1083230700
MISTY DAWN THOMPSON
DAYTON, OH
NPI
1083230700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.173192)
Enumeration Date
2020-06-18
Last Update Date
2020-06-18
Business Address
MISTY DAWN THOMPSON CDCA
1 ELIZABETH PL
DAYTON, OH 45417-3445
Phone number: 937-813-3717
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Mailing Address
MISTY DAWN THOMPSON CDCA
1255 DATE ST
FAIRBORN, OH 45324-3652
Phone number: 513-338-3061
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