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Theresa Brockman, LISW
NPI 1346618063 · on the registry since 2015
Practice
- Address
- 1231 Columbus Ave Unit A1
Lebanon, OH 45036 - Phone
- (513) 695-4495
- Fax
- (513) 228-1236
- Organisation at this address
- Healthsource Of Ohio, Inc.
Healthsource Of Ohio, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Social Worker
104100000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-11-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio