Individual
DORNICE IVANNA FRIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LW
Contact information
Practice address
36000 EUCLID AVE, WILLOUGHBY, OH 44094-4625
(440) 953-9600
Mailing address
998 MARIETTA DR, PAINESVILLE, OH 44077-2704
(330) 348-4524
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.1502313
OH
Other
Enumeration date
01/16/2020
Last updated
05/17/2023
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