Individual
JOHN HURLEY
Active
Individual
JOHN HURLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW-SUPV
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-0001632-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0188218
—
OH
05
—
1063803310
—
WV
05
—
7100417620
—
KY
01
—
I-1000632-SUPV
STATE LICENSE
OH
Enumeration date
02/09/2015
Last updated
03/17/2018
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