Healthcare Provider Details

I. General information

NPI: 1568735389
Provider Name (Legal Business Name): ELIZABETH M MRAMOR LISW-S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/10/2012
Last Update Date: 07/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6929 W 130TH ST SUITE #503
PARMA HEIGHTS OH
44130-7895
US

IV. Provider business mailing address

6929 W 130TH ST SUITE #503
PARMA HEIGHTS OH
44130-7895
US

V. Phone/Fax

Practice location:
  • Phone: 440-481-3055
  • Fax: 440-481-3222
Mailing address:
  • Phone: 440-481-3055
  • Fax: 440-481-3222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: