DUSTIN CRAIG CHENNAULT

BEREA, KY
NPI1700390812
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW19021)
Enumeration Date2017-11-28
Last Update Date2026-05-11
Business Address
DUSTIN CRAIG CHENNAULT
209 PAULINE DR
BEREA, KY 40403-8889
Phone number: 859-986-1259
Mailing Address
DUSTIN CRAIG CHENNAULT
1240 E 9TH ST RM 1907
CLEVELAND, OH 44199-9904
Phone number: