Carron Ickes, LSW, CDCA

NPI #1902203581 in Dover, Ohio

Provider Information

NPI Number: 1902203581
Entity Type: Individual
Name: Carron Ickes, LSW, CDCA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW, CDCA
Enumeration Date: Nov 26, 2014
Last Updated: Nov 26, 2014

Practice Location

Address: 897 E IRON AVE
City: Dover
State: Ohio
ZIP Code: 44622-2030
Phone: (330) 343-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker	104100000X	Primary

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