Individual
MONIQUE I MOCKABEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
1711 SPRING AVE NE, CANTON, OH 44714-2349
(330) 454-6800
(330) 588-7176
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 453-6716
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2103196-TRNE
OH
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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