Individual
DIANE ELIZABETH KRAGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
7200 FRANKLIN BLVD APT 100, CLEVELAND, OH 44102-2983
(216) 961-1568
Mailing address
7200 FRANKLIN BLVD APT 100, CLEVELAND, OH 44102-2983
(216) 961-1568
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I-0008130
OH
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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