Individual
MADELINE L DULLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2128 ALPINE PL APT 3, CINCINNATI, OH 45206-2669
(513) 679-0418
Mailing address
2128 ALPINE PL APT 3, CINCINNATI, OH 45206-2669
(513) 679-0418
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S.1802710
LICENSED SOCIAL WORKER
OH
Enumeration date
07/12/2022
Last updated
07/12/2022
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