Individual
MRS. ALICE MARGARET VANDECAVEYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
210 W WAYNE ST STE 4, MAUMEE, OH 43537-2156
(419) 276-0117
Mailing address
210 W WAYNE ST STE 4, MAUMEE, OH 43537-2156
(419) 276-0117
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
I.1201079
OH
1041C0700X
Clinical Social Worker
Primary
I.1201079-SUPV
OH
Other
Enumeration date
09/18/2010
Last updated
09/29/2022
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