Individual
MR. JEFFREY QUIDORT NEILSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
5955 RIDGE RD, PARMA, OH 44129-3936
(440) 888-0300
Mailing address
5955 RIDGE RD, PARMA, OH 44129-3936
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1700196
OH
Other
Enumeration date
09/12/2017
Last updated
09/12/2017
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