Chris Derry, LISW-S

NPI #1447684741 in Tallmadge, Ohio

Provider Information

NPI Number: 1447684741
Entity Type: Individual
Name: Chris Derry, LISW-S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LISW-S
Enumeration Date: Aug 22, 2013
Last Updated: Aug 22, 2013

Practice Location

Address: 12 SOUTHWEST AVE
City: Tallmadge
State: Ohio
ZIP Code: 44278-2269
Phone: (330) 630-1868

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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