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1326019134
CHARITY A DETRICK
MARYSVILLE, OH
NPI
1326019134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH I0008990)
Enumeration Date
2006-01-30
Last Update Date
2007-07-08
Business Address
-- CHARITY A DETRICK LISW
715 S PLUM ST
MARYSVILLE, OH 43040
Phone number: 937-644-9192
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Mailing Address
-- CHARITY A DETRICK LISW
PO BOX 817
WEST LIBERTY, OH 43357-0817
Phone number: 937-644-9192
Copy
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