Individual provider · NPI-1

Debbie Lynn Addis, LSW

Social Worker, Clinical · Dublin, OH

NPI number1477042075
StatusActive
Last updated in NPPESSep 8, 2019

Details

NPI
1477042075
Entity type
Individual (NPI-1)
Name
Debbie Lynn Addis
Credential
LSW
Sex
Female
Sole proprietor
No
Enumeration date
May 9, 2018
Last updated
Sep 8, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalS0019773OHYes

Practice location

299 Cramer Creek Ct
Dublin, OH 43017-2586

Phone 614-889-5722 · Fax 614-889-9335

Mailing address

536 Richmond Dr
Pataskala, OH 43062-8095

Phone 740-817-1551

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