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Individual

MR. DANIEL MATTHEW WUTSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1744 PAYNE AVE, CLEVELAND, OH 44114-2910
(216) 623-6555
Mailing address
1744 PAYNE AVE, CLEVELAND, OH 44114-2910

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S0019936
OH

Other

Enumeration date
01/23/2018
Last updated
01/23/2018
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