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Individual

PROF. ANGELA ISOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COUNSELING LICENSE

Contact information

Practice address
2000 LEE RD, CLEVELAND HEIGHTS, OH 44118-2572
(216) 592-8521
Mailing address
17419 WAYNE DR, CLEVELAND, OH 44128-3372
(216) 592-8521

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1200588
OH

Other

Enumeration date
12/08/2016
Last updated
12/08/2016
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