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1154835007
RAFAEL ANTONIO CORREA
CLEVELAND, OH
NPI
1154835007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 162613)
Enumeration Date
2017-11-29
Last Update Date
2023-11-17
Business Address
RAFAEL ANTONIO CORREA LCDC III
2121 W 117TH ST
CLEVELAND, OH 44111-1642
Phone number: 216-417-4831
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Mailing Address
RAFAEL ANTONIO CORREA LCDC III
3719 DENISON AVE
CLEVELAND, OH 44109-2691
Phone number: 216-417-4831
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