Individual
LINDA R FISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 293-8300
Mailing address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C0000122
OH
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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