Organization
DIRTY SOUTH THERAPEUTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL RAY MATHUEWS (OWNER)
(740) 701-2890
Entity
Organization
Contact information
Practice address
67 E WATER ST, CHILLICOTHE, OH 45601-2535
(740) 701-2890
(740) 879-2133
Mailing address
67 E WATER ST, CHILLICOTHE, OH 45601-2535
(740) 701-2890
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/26/2023
Last updated
07/23/2024
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