Individual
JENNIFER BETH WYSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW, LCSW
Contact information
Practice address
10524 EUCLID AVE, CLEVELAND, OH 44106-2205
(216) 844-2400
Mailing address
10524 EUCLID AVE, CLEVELAND, OH 44106-2205
(216) 844-2400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
088515
NY
1041C0700X
Clinical Social Worker
Primary
I.2102692
OH
Other
Enumeration date
07/30/2018
Last updated
05/14/2021
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