| NPI | 1679942502 |
|---|---|
| Former Name | CLINT D FISHER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 094326) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1200134) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2024-04-16 |