Individual
ADWOA OBOSU-BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
33355 HEALTH CAMPUS BLVD, AVON, OH 44011-1399
(440) 937-9099
Mailing address
133 COLUMBUS ST, ELYRIA, OH 44035-5130
(440) 989-7860
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.2102929
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
07/09/2021
Last updated
07/09/2021
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