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1174230262
LILLIE B COCKRELL-JAKES
CLEVELAND, OH
NPI
1174230262
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.182157)
Enumeration Date
2022-10-31
Last Update Date
2022-10-31
Business Address
LILLIE B COCKRELL-JAKES
1804 E 55TH ST
CLEVELAND, OH 44103-3602
Phone number: 216-762-1237
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Mailing Address
LILLIE B COCKRELL-JAKES
13428 DARLEY AVE
CLEVELAND, OH 44110-2169
Phone number: 216-414-3762
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