Individual
DONNA R WAFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICDC, LSW
Contact information
Practice address
109 W 66TH ST, CINCINNATI, OH 45216-1949
(513) 461-2158
Mailing address
1612 CHASE AVE, CINCINNATI, OH 45223-2204
(513) 541-7111
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
923364
OH
104100000X
Social Worker
S0022964
OH
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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