Individual
CAROL MACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
7800 DETROIT AVE, CLEVELAND, OH 44102-2814
(216) 634-7500
Mailing address
6753 STATE RD, PARMA, OH 44134-4517
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.1800932-TRNE
OH
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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