Individual
JAMES WOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24200 CHAGRIN BLVD, BEACHWOOD, OH 44122-5550
(216) 831-6466
Mailing address
24200 CHAGRIN BLVD, BEACHWOOD, OH 44122-5550
(216) 831-6466
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.0004910-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I.0004910-SUPV
LICENSE #
OH
Enumeration date
02/04/2014
Last updated
02/04/2014
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