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Individual

LACIE ROBINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5545 SMITH ROAD, BROOK PARK, OH 44142
(216) 332-9360
Mailing address
5545 SMITH ROAD, BROOK PARK, OH 44142

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
08/23/2018
Last updated
08/23/2018
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