Individual
CARL J HIVNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW;CDCA
Contact information
Practice address
9083 MENTOR AVE, MENTOR, OH 44060-6462
(440) 255-0678
Mailing address
4761 GLENN LODGE RD, MENTOR, OH 44060-1324
(440) 255-0678
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.0600083
OH
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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