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Individual

MS. BETH A DETRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LISW-S

Contact information

Practice address
5400 EDALBERT DR, CINCINNATI, OH 45239-7604
(513) 741-5690
(513) 741-5686
Mailing address
5400 EDALBERT DR, CINCINNATI, OH 45239-7604
(513) 741-5690
(513) 741-5686

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.0004481-SUPV
OH

Other

Enumeration date
12/18/2012
Last updated
12/18/2012
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