THEODOR MICHAEL EIBEN

LAKEWOOD, OH
NPI1700442589
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: OH  C.2002702)
Enumeration Date2019-05-16
Last Update Date2020-06-12
Business Address
THEODOR MICHAEL EIBEN
1662 MARS AVE # 103
LAKEWOOD, OH 44107-3825
Phone number: 216-282-3838
Mailing Address
THEODOR MICHAEL EIBEN
1662 MARS AVE
LAKEWOOD, OH 44107-3825
Phone number: 216-282-3838
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