Cincinnati Center For Autism | |
100 Office Park Drive Suite H Fairfield OH 45014 | |
(513) 874-6789 | |
(513) 874-6787 |
Full Name | Cincinnati Center For Autism |
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Speciality | Social Worker - Clinical |
Location | 100 Office Park Drive, Fairfield, Ohio |
Authorized Official Name and Position | Laurel D. Nelson (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5138746789 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cincinnati Center For Autism 100 Office Park Drive Suite H Fairfield OH 45014 Ph: (513) 874-6789 | Cincinnati Center For Autism 100 Office Park Drive Suite H Fairfield OH 45014 Ph: (513) 874-6789 |
NPI Number | 1053688218 |
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Provider Enumeration Date | 11/16/2011 |
Last Update Date | 11/16/2011 |
Identifier | Type | State | Issuer |
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1053688218 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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