Individual
ADAM GERDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
2801 C CT, ASHTABULA, OH 44004-4577
(440) 998-4210
Mailing address
1034 E 15TH ST APT 4C, ASHTABULA, OH 44004-3681
(330) 219-4327
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1600932
OH
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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