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Organization
OLD RIVER ASSOCIATES LLC
Active
Organization
OLD RIVER ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J NASSIF LISW-S (TAX ID OWNER)
(440) 668-5496
Entity
Organization
Contact information
Practice address
19035 OLD DETROIT RD STE 201, ROCKY RIVER, OH 44116-1750
(440) 668-5496
Mailing address
19035 OLD DETROIT RD STE 201, ROCKY RIVER, OH 44116-1750
(440) 668-5496
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/02/2018
Last updated
04/10/2019
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