Individual
MR. JONATHAN JAYE NIEFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
2525 E 22ND ST, CLEVELAND, OH 44115-3202
(216) 696-5800
(216) 696-5768
Mailing address
3392 KENMORE RD, SHAKER HEIGHTS, OH 44122-3462
(440) 935-4124
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1000363
OH
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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