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1326352667
CLARISSA WENTWORTH
BEAVERCREEK, OH
NPI
1326352667
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH I1000187)
Enumeration Date
2010-07-28
Last Update Date
2010-07-28
Business Address
-- CLARISSA WENTWORTH
1321 RESEARCH PARK DR
BEAVERCREEK, OH 45432-2851
Phone number: 937-427-3837
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Mailing Address
-- CLARISSA WENTWORTH
452 W MARKET ST
XENIA, OH 45385-2815
Phone number: 937-376-8700
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