Samuel Richard Dolezal

NPI #1023793544 in Milford, Ohio

Provider Information

NPI Number: 1023793544
Entity Type: Individual
Name: Samuel Richard Dolezal
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 21, 2023
Last Updated: Jun 21, 2023

Practice Location

Address: 703 STATE ROUTE 28
City: Milford
State: Ohio
ZIP Code: 45150-5021
Phone: (513) 587-8899

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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