Individual
CHARDONNAE LASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
4633 AICHOLTZ RD, CINCINNATI, OH 45244-1447
(513) 752-1555
Mailing address
4629 AICHOLTZ RD, CINCINNATI, OH 45244-1551
(513) 752-1555
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2004788
OH
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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