Individual
AIRIELLE BANASZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
21245 LORAIN RD STE 201, FAIRVIEW PARK, OH 44126-2140
(216) 337-3189
Mailing address
21245 LORAIN RD STE 201, FAIRVIEW PARK, OH 44126-2140
(216) 337-3189
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1000019.SUPV
OH
Other
Enumeration date
12/07/2016
Last updated
03/07/2024
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