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Organization
MARYMAC CHILD DEVELOPMENT
Active
Organization
MARYMAC CHILD DEVELOPMENT
Active
Other names
MaryMac Child Development
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE DECLUETT LPN (LPN)
(216) 296-1240
Entity
Organization
Contact information
Practice address
3996 WARRENSVILLE CENTER RD, WARRENSVILLE HEIGHTS, OH 44122-6703
(216) 466-0215
Mailing address
3996 WARRENSVILLE CENTER RD, WARRENSVILLE HEIGHTS, OH 44122-6703
(216) 466-0215
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962197871
—
OH
Enumeration date
06/26/2023
Last updated
06/26/2023
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