| Etta L. Charlebois Lisw-s Llc | |
|
15618 Hillcrest Rd Mount Orab OH 45154-8507 | |
| (937) 712-2438 | |
| Not Available |
| Full Name | Etta L. Charlebois Lisw-s Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 15618 Hillcrest Rd, Mount Orab, Ohio |
| Authorized Official Name and Position | Etta Louise Charlebois (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9377122438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Etta L. Charlebois Lisw-s Llc 15618 Hillcrest Rd Mount Orab OH 45154-8507 Ph: (937) 712-2438 | Etta L. Charlebois Lisw-s Llc 15618 Hillcrest Rd Mount Orab OH 45154-8507 Ph: (937) 712-2438 |
| NPI Number | 1093281065 |
|---|---|
| Provider Enumeration Date | 10/17/2018 |
| Last Update Date | 08/01/2020 |
| Certification Date | 08/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093281065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |