Individual
MARQUELL GORSUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5555 SMITH RD, BROOKPARK, OH 44142-2028
(216) 332-9360
Mailing address
5445 SMITH RD, BROOKPARK, OH 44142-2026
(216) 332-9360
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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