Individual
DAVINA MCPHERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
165 E PARK AVE, NILES, OH 44446-2352
(330) 544-8005
Mailing address
150 SCOTT ST, HUBBARD, OH 44425-2207
(330) 883-6409
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.1451000
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2847254
—
OH
Enumeration date
04/21/2015
Last updated
04/21/2015
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