Individual
BLYTHE HOUGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2075 AVON BELDEN RD, LORAIN CORRECTIONAL INSTITUTION, GRAFTON, OH 44044-9805
(440) 748-1049
Mailing address
2075 AVON BELDEN RD, LORAIN CORRECTIONAL INSTITUTION, GRAFTON, OH 44044-9805
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I1000118
OH
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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