Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | I0700293-SUPV | OH |
NPI | 1003010851 |
---|---|
Provider Name | June Huelskamp |
First Address | Cincinnati, OH 45236-4183 |
Second Address | Cincinnati, OH 45236-4183 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2007 |
Last Update Date | 16/03/2016 |