Individual
CONOR D. MONAGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Mailing address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.2203575
OH
1041C0700X
Clinical Social Worker
S.1903417
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0452242
—
OH
Enumeration date
07/16/2021
Last updated
05/04/2022
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