| NPI | 1881973360 |
|---|---|
| Professional Name | THEODORE FANEUFF |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1440117.supv) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1100545) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2016-07-26 |