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Susan Wawrose
Mental Health Counselor in Dayton, Ohio
NPI 1417574302

Susan Wawrose is a Mental Health Counselor based in Dayton, OH and is specialized in Mental Health. Susan Wawrose practices in Dayton, OH. The NPI Number for Susan Wawrose is 1417574302 and holds a License No. C.1901655 (Ohio).

The current practice location address for Susan Wawrose is 6300 N Main St, Dayton, OH and can be reached out via phone at 937-275-1500.

Location: 6300 N Main St, Dayton, OH, 45415-3154
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417574302
Provider Name
Susan Wawrose
Credential
Provider Entity Type
Individual
Gender
Female
Address
6300 N Main St, Dayton, OH, 45415-3154
Phone Number
937-275-1500
Fax Number
Provider Enumeration Date
06/26/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6300 N Main St
City
Dayton
State
Ohio
Zip
45415-3154
Phone Number
937-275-1500
Fax Number
person
Provider Business Mailing Address Details
Address
6300 N Main St
City
Dayton
State
Ohio
Zip
45415-3154
Phone Number
937-275-1500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
C.1901655 (Ohio)
Definition
Definition to come...
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