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Individual

MRS. JACQUELINE SURA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7580 NORTHCLIFF AVE, BROOKLYN, OH 44144-3270
(248) 846-8700
Mailing address
2733 E 12TH ST STE C2, BROOKLYN, NY 11235-4672

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
COBA.107
OH

Other

Enumeration date
09/18/2014
Last updated
09/23/2025
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