| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 620 Kling Dr, Dayton, Ohio |
| Authorized Official Name and Position | Kelly Browning (CLINICAL THERAPIST) |
| Authorized Official Contact | 3262120203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
620 Kling Dr Dayton OH 45419-4201 Ph: (326) 212-0203 | 620 Kling Dr Dayton OH 45419-4201 Ph: (937) 280-6595 |
| NPI Number | 1215796198 |
|---|---|
| Provider Enumeration Date | 03/14/2024 |
| Last Update Date | 12/03/2024 |
| Certification Date | 12/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215796198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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