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Individual

DENNIS CHARLES LEGENDRE

Active
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Individual

DENNIS CHARLES LEGENDRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LISW-S, LICDC-CS

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
82790
OH
1041C0700X
Clinical Social Worker
Primary
I 08152
OH

Other

Enumeration date
06/02/2011
Last updated
03/28/2017
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