Individual
MRS. LAINE HOPE MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, EDS
Contact information
Practice address
5983 W 54TH ST, PARMA, OH 44129-3854
(216) 296-0336
Mailing address
5983 W 54TH ST, PARMA, OH 44129-3854
(216) 296-0336
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH3359459
OH
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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