NPI | 1265086458 |
---|---|
Former Name | CAROLYN R NEECE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1600536) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 162182) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.130141) | |
Enumeration Date | 2019-07-26 |
Last Update Date | 2024-09-30 |