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Individual

MS. AUTHELIA UPDEGRAFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
2770 SOM CENTER RD, #2, WILLOUGHBY, OH 44094-9111
(440) 516-1350
(440) 944-7330
Mailing address
24800 HIGHPOINT RD, BEACHWOOD, OH 44122-6041
(216) 831-6611
(216) 831-2726

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I9530
OH

Other

Enumeration date
05/22/2006
Last updated
07/08/2007
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