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Individual

JAMES N MCDONOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LISW

Contact information

Practice address
4633 AICHOLTZ RD, CINCINNATI, OH 45244-1447
(513) 752-1555
Mailing address
4629 AICHOLTZ RD, CINCINNATI, OH 45244-1551

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
S.2005534
OH
1041C0700X
Clinical Social Worker
Primary
I.2203664
OH

Other

Enumeration date
06/08/2021
Last updated
06/29/2022
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