Individual
ALLISON RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
12557 RAVENWOOD DR, CHARDON, OH 44024-9009
(440) 285-3568
Mailing address
12557 RAVENWOOD DR, CHARDON, OH 44024-9009
(440) 285-3568
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2005564
OH
251S00000X
Community/Behavioral Health Agency
S.2005564
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0426616
—
OH
Enumeration date
12/14/2020
Last updated
06/25/2025
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