Most Relevant Information
Provider Data
NPI Number: | 1003577032 |
Provider Name: | MICHELLE GEORGE |
Entity Type: | Individual |
Taxonomy Code: | 101YA0400X |
Specialty: | Counselor |
License Number: | CDCA.178827 |
Most Important Dates
Enumeration Date: | 01/03/2022 |
Last Updated: | 01/03/2022 |
Provider Practice Location
4977 NORTHCUTT PL
DAYTON
OH
454143839
Practice Location Phone/Fax
Phone: | 9373876395 |
Fax: |
Provider Mailing Location
7 N WILLIAMS ST
DAYTON
OH
454026843
Provider Mailing Phone/Fax
Phone: | 9375296755 |
Fax: |