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Individual

DOUGLAS VEST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
4115 BRIDGE AVE, CLEVELAND, OH 44113-3304
(216) 631-5800
(216) 631-4595
Mailing address
4115 BRIDGE AVE, CLEVELAND, OH 44113-3304
(216) 631-5800
(216) 631-4595

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S27858
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
S27858
COUNSELOR AND SOCIAL WORK BOARD
OH
Enumeration date
10/24/2016
Last updated
10/24/2016
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