Individual
MS. SONIA THERESE PROVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED PEER RECOV
Contact information
Practice address
3500 CARNEGIE AVE, CLEVELAND, OH 44115-2641
(216) 260-8300
Mailing address
202 E BAGLEY RD, BEREA, OH 44017-2058
(440) 260-6408
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OH
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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