Individual
MR. FRED BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW-S
Contact information
Practice address
5501 RENAISSANCE PARK DR, FRANKLIN, OH 45005-9674
(513) 425-6669
Mailing address
5501 RENAISSANCE PARK DR, FRANKLIN, OH 45005-9674
(513) 425-6669
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1501021
OH
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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