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Individual

ANNA M MARTONCHIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
398 W BAGLEY RD STE 13, BEREA, OH 44017-1312
(440) 970-3790
(440) 527-8043
Mailing address
7519 MENTOR AVE STE 114, MENTOR, OH 44060-5410
(440) 701-6170
(440) 527-8043

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.2405818
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0285354
OH
Enumeration date
05/17/2018
Last updated
09/04/2024
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