Organization
ETTA L. CHARLEBOIS LISW-S LLC
Active
Organization
ETTA L. CHARLEBOIS LISW-S LLC
Active
Other names
Etta Louise Charlebois LISW-S
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ETTA LOUISE CHARLEBOIS LISW-S (CLINICAL SOCIAL WORKER)
(937) 712-2438
Entity
Organization
Contact information
Practice address
15618 HILLCREST RD, MOUNT ORAB, OH 45154-8507
(937) 712-2438
Mailing address
15618 HILLCREST RD, MOUNT ORAB, OH 45154-8507
(937) 712-2438
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/17/2018
Last updated
08/01/2020
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