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Individual

MR. AKWASIBA FERRELL-CARTER BIBBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3793 GREEN RD, BEACHWOOD, OH 44122-5705
(216) 232-5302
(216) 393-3690
Mailing address
3655 E 116TH ST, CLEVELAND, OH 44105-2515
(216) 415-9849

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
175T00000X
Peer Specialist

Other

Enumeration date
01/31/2024
Last updated
01/31/2024
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