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Organization
THEODICIES SUPPORT LLC
Active
Organization
THEODICIES SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA JACKSON YOUNG LISW-S, LICDC (CLINICAL DIRECTOR)
(440) 703-0486
Entity
Organization
Contact information
Practice address
3690 ORANGE PL STE 120, BEACHWOOD, OH 44122-4438
(440) 703-0486
(216) 472-8748
Mailing address
3690 ORANGE PL STE 120, BEACHWOOD, OH 44122-4438
(440) 703-0486
(216) 472-8748
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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