Individual
CRAIG A BILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
200 VAN GUNDY DR, BRYAN, OH 43506-1153
(419) 636-0410
(419) 636-6510
Mailing address
200 VAN GUNDY DR, BRYAN, OH 43506-1153
(419) 636-0410
(419) 636-6510
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S1450519
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S1450519
LICENSE
OH
Enumeration date
11/10/2017
Last updated
11/10/2017
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