Individual
CEIRRA W MYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW
Contact information
Practice address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 293-8300
Mailing address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 991-4723
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S1802643
OH
1041C0700X
Clinical Social Worker
Primary
I.2506456
OH
Other
Enumeration date
03/21/2018
Last updated
03/25/2025
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