MS. Authelia Updegraff, LISW

NPI #1851345987 in Willoughby, Ohio

Provider Information

NPI Number: 1851345987
Entity Type: Individual
Name: MS. Authelia Updegraff, LISW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LISW
Enumeration Date: May 22, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2770 SOM CENTER RD
Address 2: #2
City: Willoughby
State: Ohio
ZIP Code: 44094-9111
Phone: (440) 516-1350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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