Individual
DANIELLE VANCURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118-4819
(216) 932-2800
Mailing address
13725 AQUILLA RD, BURTON, OH 44021-9517
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1700615
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0246527
—
OH
Enumeration date
09/21/2011
Last updated
11/28/2017
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