Individual
MS. CELESTE SUSANNE LUTHI FENWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1045 KLOTZ RD, BOWLING GREEN, OH 43402-4820
(419) 352-7588
(419) 354-4977
Mailing address
1045 KLOTZ RD, P.O. BOX 738, BOWLING GREEN, OH 43402-4820
(419) 352-7588
(419) 354-4977
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I 1201242
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I 1201242
LISW
OH
Enumeration date
10/08/2012
Last updated
10/08/2012
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