TIMOTHY DURHAM

GRANVILLE, OH
NPI1134644016
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OH  I-000862-S)
Enumeration Date2017-08-11
Last Update Date2017-08-11
Business Address
TIMOTHY DURHAM LISW-S
905 RIVER RD
GRANVILLE, OH 43023-9560
Phone number: 740-507-6707
Mailing Address
TIMOTHY DURHAM LISW-S
44 SHADY LN
GRANVILLE, OH 43023-9281
Phone number: 740-739-2903