Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 104100000X | Social Worker | ||
Y | 1041C0700X | Clinical Social Worker | I.2103081 | OH |
NPI | 1003300534 |
---|---|
Provider Name | Leah Mcwhorter |
First Address | Athens, OH 45701-0132 |
Second Address | Athens, OH 45701-1430 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2018 |
Last Update Date | 11/10/2021 |