Organization
INTEGRATED INTERDISCIPLINARY CLINICAL SERVICES, LLC
Active
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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