Individual
AUBREY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
437 RIDGEWOOD DR, EASTLAKE, OH 44095-1232
(440) 391-1905
Mailing address
437 RIDGEWOOD DR, EASTLAKE, OH 44095-1232
(440) 391-1905
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I.2102948-SUPV
OH
1041C0700X
Clinical Social Worker
I.2102948-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
11/02/2023
Last updated
08/07/2025
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