Individual
JENEANE VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5198 RICHMOND RD, BEDFORD HEIGHTS, OH 44146-1331
(216) 378-9101
Mailing address
4577 E BERWALD RD, SOUTH EUCLID, OH 44121-3925
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1701690
OH
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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