Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225C00000X | Rehabilitation Counselor | 00152786 | OH |
NPI | 1275061103 |
---|---|
Provider Name | Thalia Duncan-Alexander |
First Address | Dayton, OH 45417-6118 |
Second Address | Dayton, OH 45424 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2017 |
Last Update Date | 23/05/2017 |