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DESTRY FALLEN, LISW-S
LISW-S
Social Worker
NPI: 1235440397Individual
Specialties, Licenses & Credentials
Social WorkerPrimary
Social Worker
Code: 104100000X
I.0005409-SUPV(OH)
Clinical Social Worker
Social Worker — Clinical
Code: 1041C0700X
I.0005409-SUPV(OH)
Contact & Hours
- Address
- 1 CHILDRENS PLZ
DAYTON, OH 45404 - Phone
- (937) 641-5300
Quick Facts
- NPI
- 1235440397
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 1
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