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Individual

DENISE L. IDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSSW, LSW

Contact information

Practice address
2285 BENDEN DR, WOOSTER, OH 44691-2568
(330) 264-9029
(330) 263-7251
Mailing address
750 BEARDSLEY RD, GALION, OH 44833-1306
(419) 468-4042

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.0011558
OH

Other

Enumeration date
02/07/2011
Last updated
02/07/2011
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