Individual
ALYSSA KREACIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, SWT
Contact information
Practice address
1131 MANCHESTER AVE, MIDDLETOWN, OH 45042-1925
(513) 422-7016
Mailing address
1131 MANCHESTER AVE, MIDDLETOWN, OH 45042-1925
(513) 422-7016
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S-1510258-TRNE
OH
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/25/2014
Last updated
04/26/2017
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