Dale R Agnew, LISW-S, LCDC-III

NPI #1790820272 in Lima, Ohio

Provider Information

NPI Number: 1790820272
Entity Type: Individual
Name: Dale R Agnew, LISW-S, LCDC-III
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LISW-S, LCDC-III
Enumeration Date: Feb 21, 2007
Last Updated: Dec 14, 2010

Practice Location

Address: 222 S WEST ST
City: Lima
State: Ohio
ZIP Code: 45801-4842
Phone: (419) 222-7180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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