Individual
JOSHUA NORDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
2458 ANTLER CT, FAIRBORN, OH 45324-9219
(847) 275-5674
Mailing address
2458 ANTLER CT, FAIRBORN, OH 45324-9219
(847) 275-5674
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.1200747
OH
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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