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Individual

CRAIG HANTHORN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8801 CHEVIOT RD, CINCINNATI, OH 45251-5907
(513) 385-6424
Mailing address
8801 CHEVIOT RD, CINCINNATI, OH 45251-5907

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH3221084
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
251300000X
OH
Enumeration date
11/02/2015
Last updated
11/02/2015
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