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Individual

ALANNA G UPDEGRAFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1 PERKINS SQ, AKRON, OH 44308-1063
(330) 543-8050
(330) 543-8054
Mailing address
1 PERKINS SQ, AKRON, OH 44308-1063
(330) 543-8050
(330) 543-8054

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
6101
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2565102
OH
Enumeration date
12/21/2006
Last updated
07/08/2007
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