Most Relevant Information
Provider Data
| NPI Number: | 1003403148 |
| Provider Name: | FANTA NIANGADOU |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/23/2020 |
| Last Updated: | 12/23/2020 |
Provider Practice Location
1045 KLOTZ RD
BOWLING GREEN
OH
434024820
Practice Location Phone/Fax
| Phone: | 4193527588 |
| Fax: |
Provider Mailing Location
33 BRONSON AVE
TOLEDO
OH
436081835
Provider Mailing Phone/Fax
| Phone: | 6787702492 |
| Fax: |