Individual
MS. CLARE B. MULHOLLAND WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
E.ED, LSW
Contact information
Practice address
1641 PAYNE AVE, SUITE 190, CLEVELAND, OH 44114-2919
(216) 987-8983
(216) 987-7883
Mailing address
8040 DEEPWOOD BLVD, A 10, MENTOR, OH 44060-8900
(440) 391-9976
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S0800227
OH
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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