Individual
HAN DOOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSA, LISW
Contact information
Practice address
3518 W 25TH ST, CLEVELAND, OH 44109-1951
(216) 741-2241
Mailing address
3484 W 125TH ST, CLEVELAND, OH 44111-3557
(646) 645-9362
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1901421
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0264395
—
OH
Enumeration date
10/12/2017
Last updated
01/18/2019
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