Individual
ALTHEA LYNN AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
20600 CHAGRIN BLVD STE 320, SHAKER HEIGHTS, OH 44122-5334
(216) 295-7239
(216) 295-7240
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9058
(419) 695-8010
(419) 695-0004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.0009330-SUPV
OH
Other
Enumeration date
02/28/2011
Last updated
04/06/2022
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