Individual
BONITA SHUMPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
628 POPLAR ST, ELYRIA, OH 44035-4065
(440) 366-1106
Mailing address
6753 STATE RD, PARMA, OH 44134-4517
(440) 843-5544
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.0030216
OH
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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