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Chris Derry, LISW-S
NPI 1447684741 · on the registry since 2013 · sole proprietor
Practice
- Address
- 12 Southwest Ave
Tallmadge, OH 44278 - Phone
- (330) 630-1868
- Fax
- (330) 319-7555
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-08-22
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