Individual
DARRELL D HENTHORN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
601 S EDWIN C MOSES BLVD, FIRST FLOOR, NW BLDG, DAYTON, OH 45417-3424
(937) 224-4646
(937) 276-8269
Mailing address
601 S EDWIN C MOSES BLVD, FIRST FLOOR, NW BLDG, DAYTON, OH 45417-3424
(937) 224-4646
(937) 276-8269
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.0014207
OH
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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