Individual
GARY LARKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
17608 EUCLID AVE, CLEVELAND, OH 44112-1216
(216) 417-6166
Mailing address
17608 EUCLID AVE, CLEVELAND, OH 44112-1216
(216) 417-6166
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
S.0901289
OH
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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