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Individual

MS. KAY ENTE ARIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
2460 FAIRMOUNT BLVD, SUITE 320, CLEVELAND HEIGHTS, OH 44106-3171
(440) 779-6708
(216) 231-7235
Mailing address
2460 FAIRMOUNT BLVD, SUITE 320, CLEVELAND HEIGHTS, OH 44106-3171
(440) 779-6708
(216) 231-7235

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
I-3066
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000222058
BC/BS
OH
Enumeration date
10/11/2006
Last updated
08/18/2012
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