Individual
MISS CLARISSA RENE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4159 N HOLLAND SYLVANIA RD, TOLEDO, OH 43623-4803
(419) 517-6564
Mailing address
411 CLINTON ST, ELMORE, OH 43416-9574
(567) 277-1183
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2207909
OH
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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