Individual
JAIME FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7000 EUCLID AVE, CLEVELAND, OH 44103-4014
(216) 391-0264
Mailing address
7000 EUCLID AVE, CLEVELAND, OH 44103-4014
(330) 224-9878
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.2103223
OH
Other
Enumeration date
01/31/2012
Last updated
12/01/2021
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