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Individual

LAFLOVIA E GINANNI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, CDCA

Contact information

Practice address
2600 SIXTH ST SW FL 6, CANTON, OH 44710-1702
(330) 830-3393
(234) 521-7091
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 453-6716

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA172342
OH
101YP2500X
Professional Counselor
Primary
C2003003
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0351200
OH
Enumeration date
05/30/2019
Last updated
09/24/2021
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