Most Relevant Information
Provider Data
| NPI Number: | 1003034463 |
| Provider Name: | KEVIN L CLINE LISW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | I.0004042 |
Most Important Dates
| Enumeration Date: | 04/23/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
520 N CHESTNUT ST
RAVENNA
OH
442662218
Practice Location Phone/Fax
| Phone: | 3302965552 |
| Fax: | 3302966126 |
Provider Mailing Location
1430 LAKE MARTIN DR
KENT
OH
442406260
Provider Mailing Phone/Fax
| Phone: | 3306265908 |
| Fax: |