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Individual
SHERETHA PAGE-WOOTEN
Active
Individual
SHERETHA PAGE-WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDCIII
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
991775
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162046
OH
1041C0700X
Clinical Social Worker
Primary
I.2506339-SUPV
OH
Other
Enumeration date
05/29/2016
Last updated
08/27/2026
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