Mr. Destry P. Fallen, LISW-S
Mr. Destry P. Fallen, LISW-S is a Social Worker in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
1 Childrens PlzDayton, OH 45404-1898
Phone: (937) 641-5300
Fax: (937) 641-5134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence I.0005409-SUPV (OH) |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X · Licence I.0005409-SUPV (OH) |
Record details
| NPI number | 1235440397 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LISW-S |
| Sole proprietor | Yes |
| NPI enumerated | June 23, 2010 |
| Last updated in NPPES | June 30, 2010 |
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