Individual
DEA NICOLE MANGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
347 MIDWAY BLVD STE 210, ELYRIA, OH 44035-2496
(440) 324-5555
Mailing address
314 HIGH ST, ELYRIA, OH 44035-3144
(440) 308-8665
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2309988
OH
Other
Enumeration date
01/12/2021
Last updated
09/27/2023
About Stedi
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