Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | S 1600607 | OH |
N | 104100000X | Social Worker | S1600607 | OH |
NPI | 1003342692 |
---|---|
Provider Name | Chadonn Cummings |
First Address | Dayton, OH 45402-3014 |
Second Address | Moriane, OH 45439 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2017 |
Last Update Date | 10/09/2020 |