Individual
MRS. GWENETTE MAURELL JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
29339 EUCLID AVE STE 102, WICKLIFFE, OH 44092-1985
(216) 799-7559
Mailing address
30799 PINETREE RD # 240, PEPPER PIKE, OH 44124-5903
(216) 799-7559
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S28637
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0158309
—
OH
Enumeration date
10/05/2007
Last updated
07/21/2022
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