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1053807289
LUCRECIA MOSS
CLEVELAND, OH
NPI
1053807289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 167349)
Enumeration Date
2018-07-11
Last Update Date
2018-07-11
Business Address
LUCRECIA MOSS CDCA
3043 W 105TH ST
CLEVELAND, OH 44111-1843
Phone number: 216-391-6672
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Mailing Address
LUCRECIA MOSS CDCA
3043 W 105TH ST
CLEVELAND, OH 44111-1843
Phone number:
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