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Individual
MARY WESLEY
Active
Individual
MARY WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA, LISW-S, LMSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801106913
MI
1041C0700X
Clinical Social Worker
Primary
I2002056
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0324862
—
OH
05
—
0328261
—
OH
01
—
1790540946
GROUP NPI
OH
Enumeration date
12/20/2016
Last updated
02/16/2024
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