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Dorlan Duan Fedrick, APS003949
Peer Specialist in Coventry Township, Ohio
NPI 1346929353

Dorlan Duan Fedrick is a Peer Specialist based in Coventry Township, OH. Dorlan Duan Fedrick practices in Coventry Township, OH and has the professional credentials of APS003949. The NPI Number for Dorlan Duan Fedrick is 1346929353 and holds a License No. 003949 (Ohio).

The current practice location address for Dorlan Duan Fedrick is 3445 S Main St, Coventry Township, OH and can be reached out via phone at 330-203-9341.

Location: 3445 S Main St, Coventry Township, OH, 44319-3028
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346929353
Provider Name
Dorlan Duan Fedrick
Credential
APS003949
Provider Entity Type
Individual
Gender
Male
Address
3445 S Main St, Coventry Township, OH, 44319-3028
Phone Number
330-203-9341
Fax Number
Provider Enumeration Date
07/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3445 S Main St
City
Coventry Township
State
Ohio
Zip
44319-3028
Phone Number
330-203-9341
Fax Number
person
Provider Business Mailing Address Details
Address
3445 S Main St
City
Coventry Township
State
Ohio
Zip
44319-3028
Phone Number
330-203-9341
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
003949 (Ohio)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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