Individual
ALYSE MITCHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20321 ARBOR AVE, EUCLID, OH 44123-3103
(216) 407-3576
Mailing address
20321 ARBOR AVE, EUCLID, OH 44123-3103
(216) 407-3576
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OH
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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