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1710436829
COREY MAO YA BAUMGART
CLEVELAND, OH
NPI
1710436829
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.161575)
Enumeration Date
2016-09-30
Last Update Date
2016-09-30
Business Address
-- COREY MAO YA BAUMGART
30800 CHAGRIN BLVD
CLEVELAND, OH 44124-5925
Phone number: 216-591-0324
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Mailing Address
-- COREY MAO YA BAUMGART
30800 CHAGRIN BLVD
CLEVELAND, OH 44124-5925
Phone number: 216-591-0324
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