Individual
NICOLE KOVALCHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17951 JEFFERSON PARK RD STE 100, MIDDLEBURG HEIGHTS, OH 44130-8439
(440) 879-8517
Mailing address
4101 BAILEY AVE, CLEVELAND, OH 44113-3819
(330) 703-7423
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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