Individual
JOLINE GADOUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
30 NORTHWEST AVE, TALLMADGE, OH 44278
(330) 256-0135
Mailing address
30 NORTHWEST AVE, TALLMADGE, OH 44278-1808
(330) 256-0135
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1800936
OH
1041C0700X
Clinical Social Worker
S.1303268
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I.1800936
COUNSELING, SOCIAL WORK, MARRIAGE AND FAMILY THERAPIST BOARD
OH
Enumeration date
11/07/2014
Last updated
09/30/2019
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