Individual
H DOUGLAS HORNBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
4510 COLLINS BLVD, SUITE 4, ASHTABULA, OH 44004-6954
(440) 992-9777
(440) 992-9683
Mailing address
4510 COLLINS BLVD, SUITE 4, ASHTABULA, OH 44004-6954
(440) 992-9777
(440) 992-9683
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I4239
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000199668
ANTHEM BCBS
OH
Enumeration date
01/22/2008
Last updated
01/22/2008
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