Individual
MS. EDITH DAVIS-FLETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 GREENVALE RD, CLEVELAND, OH 44121-1116
(216) 254-5793
Mailing address
2400 GREENVALE RD, CLEVELAND, OH 44121-1116
(216) 254-5793
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA170996
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170996
—
OH
Enumeration date
11/07/2019
Last updated
11/07/2019
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