Krista M McCulloch, LSW
Social Worker, Clinical in Maumee, OH. Individual provider (NPI-1).
NPI number1124453907
StatusActive
Last updated in NPPESMar 13, 2020
Details
- NPI
- 1124453907
- Entity type
- Individual (NPI-1)
- Name
- Krista M McCulloch
- Credential
- LSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 11, 2013
- Certification date
- Mar 13, 2020
- Last updated
- Mar 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | S.0800738 | OH | Yes |
Practice location
1627 Henthorne Dr Ste CMaumee, OH 43537-1370
Phone 419-491-0420
Mailing address
Po Box 823Perrysburg, OH 43552-0823
Phone 419-491-0420 · Fax 567-698-7875
Other practice locations
11801 Buckeye Rd
Cleveland, OH 44120-2620
Cleveland, OH 44120-2620
Phone 216-831-2255 · Fax 216-378-3906
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