Individual
MR. DESMOND EUGENE YANAMAYU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW-S
Contact information
Practice address
13110 SHAKER SQ STE C-200F, CLEVELAND, OH 44120
(330) 518-4863
Mailing address
4531 EMERSON RD, SOUTH EUCLID, OH 44121-3929
(330) 518-4863
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW129424
PA
1041C0700X
Clinical Social Worker
Primary
I.1600280
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0247553
—
OH
Enumeration date
11/08/2012
Last updated
07/21/2022
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