Organization
INTEGRATED MEDICAL MANAGEMENT LLC
Active
Other names
CogniVi
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE PUHALLA (MANAGING MEMBER)
(440) 371-3680
Entity
Organization
Contact information
Practice address
5295 ASHLEY CIR, AUSTINTOWN, OH 44515-1162
(330) 227-8287
Mailing address
19917 TIMBERED ESTATES LN, CARLINVILLE, IL 62626-3939
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
05/29/2025
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