MRS. Fayetta Barron, LISW-S, LICDC

NPI #1487196788 in Fairborn, Ohio

Provider Information

NPI Number: 1487196788
Entity Type: Individual
Name: MRS. Fayetta Barron, LISW-S, LICDC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LISW-S, LICDC
Enumeration Date: Nov 17, 2016
Last Updated: Dec 19, 2019

Practice Location

Address: 113 JAMES DR
City: Fairborn
State: Ohio
ZIP Code: 45324-5219
Phone: (937) 241-9230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Social Worker	104100000X	Primary

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