| Integrated Interdisciplinary Clinical Services, Llc | |
|
3481 S Dixie Hwy 162 Franklin OH 45005 | |
| (513) 678-7827 | |
| Not Available |
| Full Name | Integrated Interdisciplinary Clinical Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3481 S Dixie Hwy 162, Franklin, Ohio |
| Authorized Official Name and Position | Latania Thomas (C.E.O AND EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5136787827 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Interdisciplinary Clinical Services, Llc 3481 S Dixie Hwy 162 Franklin OH 45005 Ph: (513) 678-7827 | Integrated Interdisciplinary Clinical Services, Llc 3481 S Dixie Hwy 162 Franklin OH 45005 Ph: (513) 678-7827 |
| NPI Number | 1992189088 |
|---|---|
| Provider Enumeration Date | 07/17/2015 |
| Last Update Date | 07/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992189088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I.1440413 (Ohio) | Primary |
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