Individual
GENEVIEVE LAVELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1227 ANSEL RD, CLEVELAND, OH 44108-3323
(216) 421-0662
(844) 593-7239
Mailing address
5445 SMITH RD, BROOKPARK, OH 44142-2026
(216) 598-2710
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2405828-TRNE
OH
Other
Enumeration date
05/31/2024
Last updated
01/08/2025
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