Individual
DANIELLA LAVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
4269 PEARL RD, CLEVELAND, OH 44109-4234
(216) 431-4131
Mailing address
41542 ROSEWOOD ST, ELYRIA, OH 44035-1261
(440) 865-6844
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDC.131164-3
OH
104100000X
Social Worker
S.1201314
OH
1041C0700X
Clinical Social Worker
Primary
I.1901761
OH
Other
Enumeration date
11/14/2013
Last updated
10/28/2019
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