Most Relevant Information
Provider Data
| NPI Number: | 1003329939 |
| Provider Name: | TATIANA DWYER |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/14/2017 |
| Last Updated: | 11/14/2017 |
Provider Practice Location
38882 MENTOR AVE
WILLOUGHBY
OH
440947875
Practice Location Phone/Fax
| Phone: | 4409539999 |
| Fax: |
Provider Mailing Location
38882 MENTOR AVE
WILLOUGHBY
OH
440947875
Provider Mailing Phone/Fax
| Phone: | 4409539999 |
| Fax: |