Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | S.1701839 | OH |
NPI | 1003384769 |
---|---|
Provider Name | Natalie Lodia Chunn |
First Address | Cleveland, OH 44120-2373 |
Second Address | Cleveland, OH 44120-2373 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2018 |
Last Update Date | 18/02/2020 |