Individual
DARCI TELLEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
6150 PARK SQUARE DR STE B, LORAIN, OH 44053-4153
(440) 984-3882
Mailing address
1925 HAYES AVE, SANDUSKY, OH 44870-4737
(419) 557-5177
(419) 557-5179
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S1450336
OH
1041C0700X
Clinical Social Worker
Primary
I.1700693
OH
Other
Enumeration date
05/19/2015
Last updated
07/09/2021
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