Individual
LAUREN JAKUBOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24200 CHAGRIN BLVD, BEACHWOOD, OH 44122-5550
(216) 831-6466
(216) 766-6084
Mailing address
24200 CHAGRIN BLVD, BEACHWOOD, OH 44122-5550
(216) 831-6466
(216) 766-6084
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C.1300744
OH
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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