Individual
MR. DAVID J. MENKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW, SAP
Contact information
Practice address
2592 W 14TH ST, CLEVELAND, OH 44113-4409
(216) 502-2209
Mailing address
2592 W 14TH ST, CLEVELAND, OH 44113-4409
(216) 502-2209
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.0700443
OH
1041C0700X
Clinical Social Worker
I.1200439
OH
Other
Enumeration date
03/11/2011
Last updated
03/10/2014
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