Individual
CHERYL WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
129 W 4TH ST, LORAIN, OH 44052-1601
(440) 654-4174
(440) 654-4175
Mailing address
1518 TOWER BLVD, LORAIN, OH 44053-2921
(440) 242-9747
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH1093982
OH
104100000X
Social Worker
S-0016958
OH
171M00000X
Case Manager/Care Coordinator
OH1093982
OH
172A00000X
Driver
RS052920
OH
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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