Individual
DENISE MCCONVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 W 31ST ST, LORAIN, OH 44055-1116
(440) 246-1114
Mailing address
200 W 31ST ST, LORAIN, OH 44055-1116
(440) 246-1114
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH12-20-2022
OH
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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