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Organization
KIDSHEART COUNSELING, LLC
Active
Organization
KIDSHEART COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARITY A DETRICK LISW (OWNER)
(937) 209-0088
Entity
Organization
Contact information
Practice address
463 ALLENBY DR, MARYSVILLE, OH 43040-8521
(937) 209-0088
Mailing address
1175 BROOKSTONE DR, MARYSVILLE, OH 43040-8743
(937) 642-3241
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.0008990
OH
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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