Individual
LORITA J RAMBAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHS
Contact information
Practice address
1445 GREENCREST ST NW, NORTH CANTON, OH 44720-5003
(330) 526-6565
Mailing address
1445 GREENCREST ST NW, NORTH CANTON, OH 44720-5003
(330) 526-6565
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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