ALEXIS DEATHERAGE

BATAVIA, OH
NPI1043709470
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.170445)
Enumeration Date2018-05-01
Last Update Date2019-05-15
Business Address
ALEXIS DEATHERAGE CDCA
1100 HOSPITAL DR
BATAVIA, OH 45103-1920
Phone number: 513-834-7063
Mailing Address
ALEXIS DEATHERAGE CDCA
446 MORGAN ST
CINCINNATI, OH 45206-2348
Phone number: 513-834-7063