Individual
COCO BANNENBERG-BERDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
13201 GRANGER RD, GARFIELD HEIGHTS, OH 44125-1978
(216) 831-2255
Mailing address
13201 GRANGER RD, GARFIELD HEIGHTS, OH 44125-1978
(216) 831-2255
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.1302095
OH
Other
Enumeration date
05/31/2018
Last updated
09/19/2024
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