Individual
DESIREE MICHELLE GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC-2, SWA
Contact information
Practice address
953 S SOUTH ST, WILMINGTON, OH 45177-2921
(937) 383-4441
(937) 383-2348
Mailing address
975 KINGSVIEW DR, SUITE 400, LEBANON, OH 45036-9562
(513) 228-7854
(513) 228-7848
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDC.131024-2
OH
104100000X
Social Worker
W-0900049
OH
Other
Enumeration date
08/25/2010
Last updated
03/12/2013
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