Muchala Sundano-Secresty

NPI #1063023711 in North Baltimore, Ohio

Provider Information

NPI Number: 1063023711
Entity Type: Individual
Name: Muchala Sundano-Secresty
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Aug 14, 2020
Last Updated: Jun 5, 2023

Practice Location

Address: 115 W STATE ST
City: North Baltimore
State: Ohio
ZIP Code: 45872-1332
Phone: (567) 806-4808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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