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Individual

DAVID JEROME PRYOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3030 EUCLID AVE STE 312, CLEVELAND, OH 44115-2518
(216) 391-0977
(216) 391-0978
Mailing address
26942 TUNGSTEN RD, EUCLID, OH 44132-2937
(216) 225-5262
(216) 391-0978

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
954444
OH

Other

Enumeration date
01/08/2018
Last updated
01/08/2018
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