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1134644016
TIMOTHY DURHAM
GRANVILLE, OH
NPI
1134644016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH I-000862-S)
Enumeration Date
2017-08-11
Last Update Date
2017-08-11
Business Address
TIMOTHY DURHAM LISW-S
905 RIVER RD
GRANVILLE, OH 43023-9560
Phone number: 740-507-6707
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Mailing Address
TIMOTHY DURHAM LISW-S
44 SHADY LN
GRANVILLE, OH 43023-9281
Phone number: 740-739-2903
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