Individual
DONNA RAKERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
15644 MADISON AVE, LAKEWOOD, OH 44107-5622
(440) 260-3424
Mailing address
202 E BAGLEY RD, BEREA, OH 44017-2058
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S1302282
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S 1302282
STATE OF OHIO CSWMFT BOARD
OH
Enumeration date
08/10/2014
Last updated
08/11/2014
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