Individual
GEORGIA LENNOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
202 E BAGLEY RD, BEREA, OH 44017-2058
(216) 299-7628
Mailing address
202 E BAGLEY RD, BEREA, OH 44017-2058
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1600132
OH
Other
Enumeration date
03/13/2016
Last updated
03/13/2016
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