Individual
MRS. JILLIAN NANCY-GRACE BUENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
1730 W 25TH ST, CLEVELAND, OH 44113
(216) 696-4030
Mailing address
20000 LORAIN RD, APT 607, FAIRVIEW PARK, OH 44126-3479
(216) 402-3060
(216) 861-7671
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1700211-SUPV
OH
Other
Enumeration date
03/10/2017
Last updated
05/01/2019
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