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1982345344
KEVIN LAVELLE MCDANIEL
FAIRLAWN, OH
NPI
1982345344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OH 2204069)
Enumeration Date
2022-04-07
Last Update Date
2022-04-07
Business Address
Mr. KEVIN LAVELLE MCDANIEL
2680 W MARKET ST
FAIRLAWN, OH 44333-4215
Phone number: 234-867-5001
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Mailing Address
Mr. KEVIN LAVELLE MCDANIEL
60 SOUTHWICK DR
BEDFORD, OH 44146-2624
Phone number: 216-526-6395
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