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Organization

OHIO MENTOR, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DUANE MICHAEL DUKLES LPCC-S (CLINICAL SUPERVISOR)
(216) 318-6461
Entity
Organization

Contact information

Practice address
6200 ROCKSIDE WOODS BLVD N, SUITE 305, INDEPENDENCE, OH 44131-2333
(440) 525-1885
(216) 525-1894
Mailing address
6200 ROCKSIDE WOODS BLVD N, SUITE 305, INDEPENDENCE, OH 44131-2333
(440) 525-1885
(216) 525-1894

Taxonomy

Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
E-8251
OH

Other

Enumeration date
01/26/2017
Last updated
01/26/2017
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