Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | I.0030813 | OH |
NPI | 1003085416 |
---|---|
Provider Name | Julie E Calestro-Mcdonald |
First Address | Ashtabula, OH 44004-4985 |
Second Address | Ashtabula, OH 44004-4985 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/02/2008 |
Last Update Date | 29/02/2008 |