Doctor Name: | MARY MUNN |
NPI Number: | 1134249469 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW |
License Number: | I0001376 |
Business Practice Address: | 5255 N Abbe Rd Ste 1 Sheffield Village, OH - 440351451 |
Business Phone Number: | 2166965800 |
Business Fax Number: | 4409349635 |
Mailing Address: | 2525 E 22nd St, CLEVELAND |
State: | OH |
Postal Code: | 441153202 |
Phone Number: | 2166965800 |
Fax Number: | 4409349645 |
NPI Enumeration Date: | 03/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | I0001376 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |