Individual
RAVEN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1865 BAILEY RD, CUYAHOGA FALLS, OH 44221-5211
(330) 928-2042
Mailing address
1865 BAILEY RD, CUYAHOGA FALLS, OH 44221-5211
(330) 928-2042
(330) 296-6126
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C1901813
OH
Other
Enumeration date
08/08/2019
Last updated
01/07/2022
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