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Individual

ALBERT J SANGREGORY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LISW

Contact information

Practice address
1110 CASTALIA ST, STE B, BELLEVUE, OH 44811-1181
(419) 483-6086
(419) 483-3125
Mailing address
1110 CASTALIA ST, STE B, BELLEVUE, OH 44811-1181
(419) 483-6086
(419) 483-3125

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0005351
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000115697
ANTHEM BLUE CROSS
OH
01
38740
UNITED HEALTHCARE
01
P00039605
RAILROAD MEDICARE
Enumeration date
09/12/2005
Last updated
08/27/2007
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