Individual
LEAH MARIE VANDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHS
Contact information
Practice address
922 ABBE RD N, ELYRIA, OH 44035
(216) 332-9360
(216) 916-4523
Mailing address
2321 OAK PARK AVE, CLEVELAND, OH 44109-5423
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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