Individual
MRS. CHERYL LYNN LYDSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW - S
Contact information
Practice address
2554 WEST 25TH STREET, CLEVELAND, OH 44113
(216) 781-2250
(216) 781-2252
Mailing address
13901 GROVE DR, GARFIELD HEIGHTS, OH 44125-5207
(216) 402-1876
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.0700334-SUPV
OH
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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