Individual
TIERA WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 WALWORTH AVE, EUCLID, OH 44132-1028
(216) 505-3365
Mailing address
320 WALWORTH AVE, EUCLID, OH 44132-1028
(216) 505-3365
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
09/17/2023
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