ANTHONY DOMENICK

WARREN, OH
NPI1306525233
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.184687)
Enumeration Date2023-07-17
Last Update Date2023-07-17
Business Address
ANTHONY DOMENICK
1212 TOD PL NW
WARREN, OH 44485-2475
Phone number: 330-469-6822
Mailing Address
ANTHONY DOMENICK
PO BOX 1212
WARREN, OH 44482-1212
Phone number: 330-469-6822
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