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Individual
MR. THOMAS LEE DUVALL
Active
Individual
MR. THOMAS LEE DUVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.1200588
OH
1041C0700X
Clinical Social Worker
Primary
I.1901606
—
1041C0700X
Clinical Social Worker
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0262214
—
OH
Enumeration date
04/14/2016
Last updated
03/04/2021
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