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Individual

DEGRA SPENCER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
17637 SHURMER RD, STRONGSVILLE, OH 44136-6157
(216) 210-4041
Mailing address
1949 GREEN RD, CLEVELAND, OH 44121-1160

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
S1600489
OH
1041C0700X
Clinical Social Worker
Primary
I.2203695
OH

Other

Enumeration date
06/28/2018
Last updated
09/02/2022
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