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Individual

MRS. ANGELA L. DAUGHERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSSA, LISW

Contact information

Practice address
100 PARKER CT, CHARDON, OH 44024-1141
(440) 286-1553
(440) 286-1318
Mailing address
100 PARKER CT, CHARDON, OH 44024-1141
(440) 286-1553
(440) 286-1318

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0009899
OH

Other

Enumeration date
02/08/2008
Last updated
02/08/2008
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