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1154638005
SHANNON I CUSACK
CLEVELAND, OH
NPI
1154638005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH I.0700308-SUPV)
Enumeration Date
2010-09-13
Last Update Date
2021-12-27
Business Address
-- SHANNON I CUSACK LISW-Supervisor
2500 METROHEALTH DR
CLEVELAND, OH 44109-1900
Phone number: 216-778-7800
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Mailing Address
-- SHANNON I CUSACK LISW-Supervisor
2500 METROHEALTH DR
CLEVELAND, OH 44109-1900
Phone number: 216-831-2255
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