CHARITY A DETRICK

MARYSVILLE, OH
NPI1326019134
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OH  I0008990)
Enumeration Date2006-01-30
Last Update Date2007-07-08
Business Address
-- CHARITY A DETRICK LISW
715 S PLUM ST
MARYSVILLE, OH 43040
Phone number: 937-644-9192
Mailing Address
-- CHARITY A DETRICK LISW
PO BOX 817
WEST LIBERTY, OH 43357-0817
Phone number: 937-644-9192