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Individual

MRS. MIRANDA R MEOLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCDC III

Contact information

Practice address
1484 STATE ROUTE 46 N, SUITE 7, JEFFERSON, OH 44047-8145
(440) 624-4033
(440) 624-4086
Mailing address
1527 W PROSPECT RD, ASHTABULA, OH 44004-6674
(440) 344-3368

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
06/04/2014
Last updated
06/04/2014
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