Individual
DESTINY CHAMPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1865 N RIDGE RD E STE E, LORAIN, OH 44055-3360
(440) 723-5495
Mailing address
1865 N RIDGE RD E STE E, LORAIN, OH 44055-3360
(440) 723-5495
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2308988
OH
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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