Provider Demographics
NPI:1780211078
Name:DAUM, SONYA LEANN
Entity type:Individual
Prefix:
First Name:SONYA
Middle Name:LEANN
Last Name:DAUM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:793 MILLCREST DR
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43040-1851
Mailing Address - Country:US
Mailing Address - Phone:937-243-6904
Mailing Address - Fax:
Practice Address - Street 1:793 MILLCREST DR
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43040-1851
Practice Address - Country:US
Practice Address - Phone:937-243-6904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-25
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator