Mary Lou Andujar-Hough

Individual provider Active NPI Social Worker · Sheffield Village, OH

NPI 1497054183 · NPPES record last updated Mar 21, 2011

Key facts

NPI
1497054183
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
0000972 (OH)
Practice address
5255 N Abbe Rd Ste 1
Sheffield Village, OH 44035-1451
Phone
(440) 934-9930
Fax
(440) 934-9645
NPI assigned
Mar 21, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0000972OHMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0000972 OH Yes

Addresses

Primary practice location

5255 N Abbe Rd Ste 1
Sheffield Village, OH 44035-1451

Mailing address

5255 N Abbe Rd Ste 1
Sheffield Village, OH 44035-1451
Phone (440) 934-9930

Other providers in Sheffield Village, OH

All providers in Sheffield Village, OH · Social Worker in Ohio

Sources for this page

Verify at the official NPI Registry.