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1578170403
NICHOLAS DANIEL DEFAZIO
DAYTON, OH
NPI
1578170403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-09-24
Last Update Date
2020-09-24
Business Address
NICHOLAS DANIEL DEFAZIO LPCC-S, LICDC
1951 S GETTYSBURG AVE
DAYTON, OH 45417-4160
Phone number: 937-496-7302
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Mailing Address
NICHOLAS DANIEL DEFAZIO LPCC-S, LICDC
3012 WHITTIER AVE
KETTERING, OH 45420-2114
Phone number: 330-575-3855
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