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Organization

THE DELIVERANCE OVERCOMING CHURCH OF GOD

Active
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Organization

THE DELIVERANCE OVERCOMING CHURCH OF GOD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANDRAE D MAZE MBA (CEO / SENIOR PASTOR)
(216) 287-5031
Entity
Organization

Contact information

Practice address
7201 QUINCY AVE, CLEVELAND, OH 44104-1942
(216) 391-7289
Mailing address
PO BOX 1945, MEDINA, OH 44258-1945
(216) 391-7289

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
NULL
101YP1600X
Pastoral Counselor
—
—
374K00000X
Religious Nonmedical Practitioner
Primary
—
NULL
374K00000X
Religious Nonmedical Practitioner
Primary
—
—

Other

Enumeration date
11/19/2021
Last updated
11/19/2021
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