Individual
SUSAN VANDENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9715 CROWS NEST LN, LITCHFIELD, OH 44253-9555
(216) 386-3000
Mailing address
9715 CROWS NEST LN, LITCHFIELD, OH 44253-9555
(216) 386-3000
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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