Individual
DENISE VAN GUNDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
26442 KIME HOLDERMAN RD, CIRCLEVILLE, OH 43113
(740) 412-4524
Mailing address
PO BOX 604, CIRCLEVILLE, OH 43113-0604
(740) 412-4524
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
I.1800977-SUPV
OH
Other
Enumeration date
01/29/2018
Last updated
08/21/2020
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