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Individual

MADELEINE BECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3518 W 25TH ST, CLEVELAND, OH 44109-1951
(216) 741-2241
Mailing address
4953 CHABLIS CIR, BRUNSWICK, OH 44212-4717
(330) 441-0369

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
172V00000X
OH
Enumeration date
11/27/2019
Last updated
11/27/2019
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