Individual
ALISSA S WIBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
20525 CENTER RIDGE RD, SUITE 303, ROCKY RIVER, OH 44116-3437
(440) 574-1794
Mailing address
2181 BRIARWOOD RD, CLEVELAND HEIGHTS, OH 44118-2833
(440) 574-1794
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I1440201-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0268768
—
OH
Enumeration date
08/30/2011
Last updated
08/21/2015
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