Individual
GREGORY VAZQUEZ-NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW-S
Contact information
Practice address
22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118
(216) 320-6699
Mailing address
195 N GRANT AVE, SUITE 205, COLUMBUS, OH 43215-2855
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1451118-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0197473
—
OH
Enumeration date
02/19/2015
Last updated
06/13/2018
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