Organization
INTEGRATED INTERDISCIPLINARY CLINICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATANIA THOMAS MPA, MSW, LISW, ACHE (C.E.O AND EXECUTIVE DIRECTOR)
(513) 678-7827
Entity
Organization
Contact information
Practice address
3481 S DIXIE HWY 162, FRANKLIN, OH 45005
(513) 678-7827
Mailing address
3481 S DIXIE HWY 162, FRANKLIN, OH 45005
(513) 678-7827
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1440413
OH
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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