Individual
HAVEN J OHLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW,LISW
Contact information
Practice address
35895 ROYALTON RD, GRAFTON, OH 44044-9587
(440) 529-9419
Mailing address
35895 ROYALTON RD, GRAFTON, OH 44044-9587
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.2103180
OH
Other
Enumeration date
06/07/2020
Last updated
05/26/2022
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