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Individual

JANE L WOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PCC-S

Contact information

Practice address
3500 CARNEGIE AVE, CLEVELAND, OH 44115-2641
(440) 260-8900
(440) 260-8576
Mailing address
202 E BAGLEY RD, BEREA, OH 44017-2058
(440) 260-8327
(440) 260-8305

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.0003692-SUPV
OH
104100000X
Social Worker
S.0015708
OH

Other

Enumeration date
10/05/2016
Last updated
10/05/2016
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