Most Relevant Information
Provider Data
| NPI Number: | 1003080011 |
| Provider Name: | CURTIS JEROME HALSELL LSW, CCDCI |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | S-31870 |
Most Important Dates
| Enumeration Date: | 04/22/2008 |
| Last Updated: | 04/22/2008 |
Provider Practice Location
212 COOK RD
LEBANON
OH
450369600
Practice Location Phone/Fax
| Phone: | 5136951354 |
| Fax: | 5136951831 |
Provider Mailing Location
107 OREGONIA RD FL 2
LEBANON
OH
450363903
Provider Mailing Phone/Fax
| Phone: | 5136952411 |
| Fax: | 5136952309 |