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1104540921
DOMINIQUE RENEE CRIDER
MAUMEE, OH
NPI
1104540921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 181937)
Enumeration Date
2022-09-27
Last Update Date
2022-09-27
Business Address
DOMINIQUE RENEE CRIDER
1760 MANLEY RD
MAUMEE, OH 43537-9400
Phone number: 419-573-5257
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Mailing Address
DOMINIQUE RENEE CRIDER
1760 MANLEY RD
MAUMEE, OH 43537-9400
Phone number: 419-573-5257
Copy
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