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1841640984
AUTUMN VINCIQUERRA
MENTOR, OH
NPI
1841640984
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-06-20
Last Update Date
2022-07-20
Business Address
AUTUMN VINCIQUERRA
7232 JUSTIN WAY
MENTOR, OH 44060-4881
Phone number: 440-578-8200
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Mailing Address
AUTUMN VINCIQUERRA
7232 JUSTIN WAY
MENTOR, OH 44060-4881
Phone number: 440-578-8200
Copy
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