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Organization

TAWANA DUNCAN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS TAWANA LACIENCE DUNCAN (INDEPENDENT PROVIDER)
(216) 242-7777
Entity
Organization

Contact information

Practice address
1363 EAST 93RD ST, CLEVELAND, OH 44106
(216) 242-7777
Mailing address
1363 E 93RD ST, CLEVELAND, OH 44106-1005
(216) 242-7777

Taxonomy

Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
OH

Other

Enumeration date
09/01/2016
Last updated
09/01/2016
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