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1376249490
STACEY R HERRADA
CLEVELAND, OH
NPI
1376249490
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 181170)
Enumeration Date
2023-01-31
Last Update Date
2023-01-31
Business Address
STACEY R HERRADA CDCA
14445 BROADWAY AVE
CLEVELAND, OH 44125-1957
Phone number: 443-542-7765
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Mailing Address
STACEY R HERRADA CDCA
14445 BROADWAY AVE
CLEVELAND, OH 44125-1957
Phone number: 443-542-7765
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