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Individual

MS. ELIZABETH A DECHANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW LISW

Contact information

Practice address
4507 LOGAN WAY, HUBBARD, OH 44425-3311
(330) 759-3218
Mailing address
4507 LOGAN WAY, HUBBARD, OH 44425-3311
(330) 759-3218

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I5708
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CW018352
PA SOCIAL WORK LICENSE
PA
Enumeration date
01/19/2007
Last updated
12/31/2020
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