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Organization
SYLVANIA THERAPY SERVICES LLC
Active
Organization
SYLVANIA THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE TIMOTHY FANEUFF LISW-S, MBA (CLINICAL THERAPIST/OWNER)
(419) 324-0334
Entity
Organization
Contact information
Practice address
3335 MEIJER DR, SUITE 450, TOLEDO, OH 43617-3104
(419) 324-0334
Mailing address
6911 KINSMAN DR, SYLVANIA, OH 43560-2875
(419) 304-1104
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1440117.SUPV
OH
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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