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Individual

ANTON CROSS MSW, LSW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSW,MSW

Contact information

Practice address
2301 SCRANTON RD, CLEVELAND, OH 44113-4311
(216) 273-6998
Mailing address
20259 LORAIN RD APT 201, FAIRVIEW PARK, OH 44126-3526
(216) 956-6973

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
S.1600080
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
S.1600080
LICENSE
OH
Enumeration date
04/26/2018
Last updated
04/26/2018
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