Individual
CHARLISE C JOAEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
50 GREENWOOD LN, SPRINGBORO, OH 45066-3033
(937) 746-1154
(937) 746-8523
Mailing address
204 COOK RD, SUITE 400, LEBANON, OH 45036-9600
(513) 228-7800
(513) 725-2231
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S-1701396
OH
390200000X
Student in an Organized Health Care Education/Training Program
S-1610527-TRNE
OH
Other
Enumeration date
01/23/2017
Last updated
09/19/2017
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