Individual
CATHERINE DOUGLAS-PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
5502 DIXIE HWY, FAIRFIELD, OH 45014-4297
(513) 874-9460
(513) 636-4283
Mailing address
5502 DIXIE HWY, FAIRFIELD, OH 45014-4297
(513) 874-9460
(513) 636-4283
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.0003444-SUPV
OH
Other
Enumeration date
07/31/2009
Last updated
10/17/2018
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