Individual
MISS TINA RENEE CLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6061 S BROADWAY, LORAIN, OH 44053-3818
(440) 375-5342
(440) 637-0330
Mailing address
6061 S BROADWAY, LORAIN, OH 44053-3818
(440) 375-5342
(440) 637-0330
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.005630
OH
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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