Doctor Name: | CHERIE G. MANNINO |
NPI Number: | 1053599837 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.I.S.W. |
License Number: | I.0700063 |
Business Practice Address: | 6560 N High St Worthington, OH - 430854056 |
Business Phone Number: | 6144460225 |
Business Fax Number: | |
Mailing Address: | 5596 Cloverdale Dr, GALENA |
State: | OH |
Postal Code: | 430219552 |
Phone Number: | 6144105357 |
Fax Number: | |
NPI Enumeration Date: | 02/05/2008 |
NPI Last Update Date: | 01/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | I.0700063 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |