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Dominique Lasha Waiters
Mental Health Counselor in Canton, Ohio
NPI 1053038257

Dominique Lasha Waiters is a Mental Health Counselor based in Canton, OH and is specialized in Mental Health. Dominique Lasha Waiters practices in Canton, OH. The NPI Number for Dominique Lasha Waiters is 1053038257 and holds a License No. (Ohio).

The current practice location address for Dominique Lasha Waiters is 225 Clarendon Ave Nw, Canton, OH and can be reached out via phone at 234-207-6121.

Location: 225 Clarendon Ave Nw, Canton, OH, 44708-4624
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053038257
Provider Name
Dominique Lasha Waiters
Credential
Provider Entity Type
Individual
Gender
Female
Address
225 Clarendon Ave Nw, Canton, OH, 44708-4624
Phone Number
234-207-6121
Fax Number
Provider Enumeration Date
10/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
225 Clarendon Ave Nw
City
Canton
State
Ohio
Zip
44708-4624
Phone Number
234-207-6121
Fax Number
person
Provider Business Mailing Address Details
Address
225 Clarendon Ave Nw
City
Canton
State
Ohio
Zip
44708-4624
Phone Number
234-207-6121
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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