Individual
LALESCIA LAVONE HURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PEER SUPPORT SPECIAL
Contact information
Practice address
8809 GRAND DIVISION AVE, CLEVELAND, OH 44125-1349
(216) 470-2998
Mailing address
8809 GRAND DIVISION AVE, CLEVELAND, OH 44125-1349
(216) 470-2998
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OH
Other
Enumeration date
08/25/2016
Last updated
12/31/2019
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