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1922586379
JONATHON ELEEOT HENRY
CLEVELAND, OH
NPI
1922586379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: OH I.2203559-SUPV)
Enumeration Date
2018-07-29
Last Update Date
2024-05-31
Business Address
JONATHON ELEEOT HENRY LISW-S, CCM
10701 EAST BLVD
CLEVELAND, OH 44106-1702
Phone number: 216-791-3800
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Mailing Address
JONATHON ELEEOT HENRY LISW-S, CCM
387 DOUGLAS BLVD
RICHMOND HEIGHTS, OH 44143-1745
Phone number: 216-703-5334
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