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Individual

GARY THOMAS RATLIFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LISW, LICDC III

Contact information

Practice address
9403 KENWOOD RD, BLUE ASH, OH 45242-6895
(513) 280-1523
Mailing address
230 LUDLOW ST, HAMILTON, OH 45011-2903

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.161749
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.161869
OH
1041C0700X
Clinical Social Worker
Primary
I.2103221-SUPV
OH

Other

Enumeration date
02/16/2017
Last updated
03/25/2023
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