Individual
JENNIFER WOODWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3500 CARNEGIE AVE, CLEVELAND, OH 44115-2641
(216) 645-6550
Mailing address
202 E BAGLEY RD, BEREA, OH 44017-2058
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S1000228
OH
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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