Individual
MRS. LEILA ANN VIDMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCC
Contact information
Practice address
7566 OAK HILL DR, CHESTERLAND, OH 44026-1725
(440) 289-0639
Mailing address
7566 OAK HILL DR, CHESTERLAND, OH 44026-1725
(440) 289-0639
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E8092
OH
Other
Enumeration date
01/25/2007
Last updated
11/03/2020
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