Individual
CHRIS DERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW-S
Contact information
Practice address
12 SOUTHWEST AVE, TALLMADGE, OH 44278-2269
(330) 630-1868
(330) 319-7555
Mailing address
12 SOUTHWEST AVE, TALLMADGE, OH 44278-2269
(330) 630-1868
(330) 319-7555
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I.0009227
OH
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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