BRUCE SHAGOVAC

PARMA, OH
NPI1932583127
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  051027)
Enumeration Date2015-07-17
Last Update Date2015-07-17
Business Address
-- BRUCE SHAGOVAC LCDC III # 051027
6753 STATE RD
PARMA, OH 44134-4517
Phone number: 440-843-5617
Mailing Address
-- BRUCE SHAGOVAC LCDC III # 051027
6753 STATE RD
PARMA, OH 44134-4517
Phone number: 440-843-5617
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