Provider Demographics
NPI:1467681478
Name:PAGURA, KAREN M G (LISW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:M G
Last Name:PAGURA
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:365 LANTERN LN
Mailing Address - Street 2:
Mailing Address - City:PLAIN CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43064-2127
Mailing Address - Country:US
Mailing Address - Phone:614-873-3137
Mailing Address - Fax:
Practice Address - Street 1:365 LANTERN LN
Practice Address - Street 2:
Practice Address - City:PLAIN CITY
Practice Address - State:OH
Practice Address - Zip Code:43064-2127
Practice Address - Country:US
Practice Address - Phone:614-873-3137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-11
Last Update Date:2009-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI00048901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical