Individual
MRS. DORI J SUPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
24400 HIGHPOINT RD, STE 6, BEACHWOOD, OH 44122
(216) 831-6550
(216) 831-6133
Mailing address
24400 HIGHPOINT RD, STE 6, BEACHWOOD, OH 44122
(216) 831-6550
(216) 831-6133
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
I002766
OH
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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