Individual
BREANN LAFAYE VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1946 N 13TH ST STE 450, TOLEDO, OH 43604-7257
(419) 708-1875
Mailing address
5400 EDALBERT DR, CINCINNATI, OH 45239-7604
(513) 741-3100
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/11/2018
Last updated
01/22/2020
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