Provider Demographics
NPI:1518122431
Name:BAROT, DAWN MARIE (CDMS, CCM)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:MARIE
Last Name:BAROT
Suffix:
Gender:F
Credentials:CDMS, CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5186 MINUTEMAN CT
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-1678
Mailing Address - Country:US
Mailing Address - Phone:513-754-1862
Mailing Address - Fax:513-754-1863
Practice Address - Street 1:5186 MINUTEMAN CT
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-1678
Practice Address - Country:US
Practice Address - Phone:513-754-1862
Practice Address - Fax:513-754-1863
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-21
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL00008540171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator