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Individual

ANGELA M SANSAVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11801 BUCKEYE RD, CLEVELAND, OH 44120-2620
(216) 831-2255
(216) 378-3906
Mailing address
3737 LANDER RD, PEPPER PIKE, OH 44124-5712
(216) 831-2255
(216) 378-3906

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.1200542
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0268768
OH
Enumeration date
10/15/2012
Last updated
10/15/2012
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