Individual
FEI LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3820 SUPERIOR AVE E STE 214, CLEVELAND, OH 44114-4169
(216) 361-1223
Mailing address
370 E MARKET ST, AKRON, OH 44304-1526
(330) 535-3263
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S 1440265
OH
1041C0700X
Clinical Social Worker
Primary
I.1600718-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0211217
—
OH
Enumeration date
01/20/2016
Last updated
05/10/2018
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