Individual
LORI SELLECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3405 CLEVELAND AVE S, CANTON, OH 44707-1443
(330) 256-1468
Mailing address
3405 CLEVELAND AVE S, CANTON, OH 44707-1443
(330) 256-1468
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0500285
—
OH
01
—
6705820
OHIO DODD
OH
Enumeration date
01/20/2023
Last updated
01/20/2023
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