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1861909962
DANIELLE L BOSTIC
CLEVELAND, OH
NPI
1861909962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 130061)
Enumeration Date
2018-01-10
Last Update Date
2018-03-17
Business Address
Mrs. DANIELLE L BOSTIC CDCA
3505 KRATHER RD
CLEVELAND, OH 44109-3127
Phone number: 216-645-0646
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Mailing Address
Mrs. DANIELLE L BOSTIC CDCA
1710 PROSPECT AVE E
CLEVELAND, OH 44115-2322
Phone number: 216-781-3773
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