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Individual

CLAIRE R FARNSWORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
401 FRONT ST., MALTA, OH 43758
(740) 962-2601
(740) 962-2601
Mailing address
401 FRONT ST., BOX 236, MALTA, OH 43758
(740) 962-2601
(740) 962-2601

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I866
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2632404
OH
Enumeration date
06/23/2006
Last updated
07/26/2010
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