Individual
BRENT HARTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW-S
Contact information
Practice address
43 E MAIN ST, AMELIA, OH 45102-1993
(513) 947-7000
Mailing address
184 KENTUCKY DR, NEWPORT, KY 41071-2753
(513) 255-1070
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0900038
OH
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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