Individual
CLARISSA S KACZMAREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1155 DOROTHEA DR, PAINESVILLE, OH 44077-5233
(440) 358-1915
Mailing address
1155 DOROTHEA DR, PAINESVILLE, OH 44077-5233
(440) 358-1915
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.016269
OH
Other
Enumeration date
05/01/2009
Last updated
05/01/2009
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