Individual
MAURA WHISENHUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
1801 HARSHMAN RD, DAYTON, OH 45424-5019
(937) 237-4265
Mailing address
1801 HARSHMAN RD, DAYTON, OH 45424-5019
(937) 237-4265
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I5991
INDEPENDENT SOCIAL WORK LICENSE
OH
Enumeration date
02/14/2014
Last updated
02/14/2014
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