Edmund V Dickriede

NPI #1770818387 in Eaton, Ohio

Provider Information

NPI Number: 1770818387
Entity Type: Individual
Name: Edmund V Dickriede
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Oct 15, 2009
Last Updated: Oct 15, 2009

Practice Location

Address: 2172A US ROUTE 127 N
City: Eaton
State: Ohio
ZIP Code: 45320-9289
Phone: (937) 456-1915

Specialties & Taxonomy Codes

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

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