Individual
MRS. SONJA DIANE DUPREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13300 CARPENTER RD, GARFIELD HEIGHTS, OH 44125-5118
(216) 482-6988
Mailing address
13300 CARPENTER RD, GARFIELD HEIGHTS, OH 44125-5118
(216) 482-6988
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
06/27/2022
Last updated
06/27/2022
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