Individual
ERICA INNOCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11801 BUCKEYE, CLEVELAND, OH 44120
(216) 831-2255
Mailing address
3737 LANDER RD, CLEVELAND, OH 44124-5712
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1430088
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2871101
—
OH
Enumeration date
04/03/2014
Last updated
04/03/2014
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