KELITHA LAVERNE BIVENS

CLEVELAND, OH
NPI1134720055
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-11-06
Last Update Date2020-11-06
Business Address
KELITHA LAVERNE BIVENS
8411 BROADWAY AVE
CLEVELAND, OH 44105-3932
Phone number: 216-441-0200
Mailing Address
KELITHA LAVERNE BIVENS
8411 BROADWAY AVE
CLEVELAND, OH 44105-3932
Phone number: 216-441-0200
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