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Individual

BRIAN CARLISI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
100 VIKING WAY, CINCINNATI, OH 45246
(513) 864-1984
Mailing address
100 VIKING WAY, CINCINNATI, OH 45246
(513) 864-1984

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH1444534
OH

Other

Enumeration date
09/25/2014
Last updated
09/25/2014
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