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4502 Groveland Rd University Heights OH 44118-3923 | |
| (216) 570-6353 | |
| (216) 297-9522 |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4502 Groveland Rd, University Heights, Ohio |
| Authorized Official Name and Position | Vanessa Dvorin-fremont (CLINICAL SOCIAL WORKER/THERAPIST) |
| Authorized Official Contact | 2165706353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4502 Groveland Rd University Heights OH 44118-3923 Ph: (216) 570-6353 | 4502 Groveland Rd University Heights OH 44118-3923 Ph: (216) 570-6353 |
| NPI Number | 1023600558 |
|---|---|
| Provider Enumeration Date | 02/05/2021 |
| Last Update Date | 11/11/2024 |
| Certification Date | 11/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023600558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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