| |
1485 S Hawkins Ave Ste 150g Akron OH 44320-3475 | |
(234) 571-0039 | |
Not Available |
Full Name | |
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Speciality | Social Worker - Clinical |
Location | 1485 S Hawkins Ave Ste 150g, Akron, Ohio |
Authorized Official Name and Position | Kathey D Hodges (CO-OWNER, CO-EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3304595051 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1485 S Hawkins Ave Ste 150g Akron OH 44320-3475 Ph: (234) 571-0039 | 1485 S Hawkins Ave Ste 150g Akron OH 44320-3475 Ph: (234) 571-0039 |
NPI Number | 1114409794 |
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Provider Enumeration Date | 08/30/2018 |
Last Update Date | 08/30/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114409794 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | S.1200466 (Ohio) | Secondary |
1041C0700X | Social Worker - Clinical | I.07000324 (Ohio) | Primary |
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