Individual
JAIME ANNE MARIAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
10427 DETROIT AVE, CLEVELAND, OH 44102-1645
(216) 521-6511
Mailing address
25613 EATON WAY, BAY VILLAGE, OH 44140-2502
(440) 655-4431
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1500402
OH
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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