Individual
DEBORAH A PERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW,OCPSI
Contact information
Practice address
50 GREENWOOD LN, SPRINGBORO, OH 45066-3033
(937) 746-1154
(937) 746-8523
Mailing address
107 OREGONIA RD FL 2, LEBANON, OH 45036-3903
(513) 695-2411
(513) 695-2309
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1039-S07
OH
1041C0700X
Clinical Social Worker
Primary
30182
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000375920
ANTHEM
—
Enumeration date
02/29/2008
Last updated
02/29/2008
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