Michele Marie Fatheringham

NPI #1265922165 in Chardon, Ohio

Provider Information

NPI Number: 1265922165
Entity Type: Individual
Name: Michele Marie Fatheringham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: May 16, 2018
Last Updated: May 16, 2018

Practice Location

Address: 12041 RAVENNA RD
City: Chardon
State: Ohio
ZIP Code: 44024-7008
Phone: (440) 286-7154

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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