Individual
GARY FRANCIS UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11401 LORAIN AVE, CLEVELAND, OH 44111-5428
(216) 416-4277
Mailing address
11401 LORAIN AVE, CLEVELAND, OH 44111-5428
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S-19429
OH
Other
Enumeration date
09/06/2017
Last updated
09/06/2017
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