Dominique Lasha Waiters

NPI #1053038257 in Canton, Ohio

Provider Information

NPI Number: 1053038257
Entity Type: Individual
Name: Dominique Lasha Waiters
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Oct 27, 2022
Last Updated: Oct 27, 2022

Practice Location

Address: 225 CLARENDON AVE NW
City: Canton
State: Ohio
ZIP Code: 44708-4624
Phone: (234) 207-6121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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