Individual
CHRISTINE COWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4629 E 177TH ST, CLEVELAND, OH 44128-3909
(216) 333-5525
Mailing address
4629 E 177TH ST, CLEVELAND, OH 44128-3909
(216) 333-5525
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
1816262
OH
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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