Doctor Name: | MARY SPRANG |
NPI Number: | 1033532981 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | I.0009031-SUPV |
Business Practice Address: | 346 Illinois Ave Lorain, OH - 440522106 |
Business Phone Number: | 4402880448 |
Business Fax Number: | |
Mailing Address: | 1051 E St, LORAIN |
State: | OH |
Postal Code: | 44052 |
Phone Number: | 4402880448 |
Fax Number: | |
NPI Enumeration Date: | 01/29/2014 |
NPI Last Update Date: | 01/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | I.0009031-SUPV |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |