DEJAH M SPROUSE

LAKEWOOD, OH
NPI1326669086
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OH  C.2304859)
Additional Taxonomies172V00000X Community Health Worker
171M00000X Case Manager/Care Coordinator
Enumeration Date2020-05-04
Last Update Date2023-02-21
Business Address
DEJAH M SPROUSE LPC
1295 IDLEWOOD AVE
LAKEWOOD, OH 44107-2901
Phone number: 440-420-9584
Mailing Address
DEJAH M SPROUSE LPC
1295 IDLEWOOD AVE
LAKEWOOD, OH 44107-2901
Phone number: 440-420-9584