Individual
DENNIS CHARLES LEGENDRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW-S, LICDC-CS
Contact information
Practice address
4100 W. THIRD STREET, DAYTON VA MEDICAL CENTER, DAYTON, OH 45428
(513) 673-2564
Mailing address
4100 W 3RD ST, BUILDING 409, ROOM 123, DAYTON, OH 45428-9000
(937) 268-6511
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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