Organization
DIRTY SOUTH THERAPEUTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MATHUEWS II (OWNER)
(740) 993-9571
Entity
Organization
Contact information
Practice address
2541 HARTWOOD RD, CHILLICOTHE, OH 45601-8136
(740) 993-9571
Mailing address
2541 HARTWOOD RD, CHILLICOTHE, OH 45601-8136
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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