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1588013627
CARMEN POLANCO
CLEVELAND, OH
NPI
1588013627
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-06-09
Last Update Date
2017-12-27
Business Address
CARMEN POLANCO cdca
2202 PRAME AVE
CLEVELAND, OH 44109
Phone number: 216-459-1222
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Mailing Address
CARMEN POLANCO cdca
3305 W 25TH ST
CLEVELAND, OH 44109-1613
Phone number: 216-459-1222
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