Individual
ELLEN M SEVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSA, LISW
Contact information
Practice address
402 SANDHURST DR, HIGHLAND HEIGHTS, OH 44143-3604
(216) 201-0339
Mailing address
23725 WOLF RD, BAY VILLAGE, OH 44140-2854
(216) 849-6165
(440) 471-4948
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0009998
OH
Other
Enumeration date
01/08/2007
Last updated
01/31/2011
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