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Individual

MS. TONIE SLOCUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1873 PROSPECT AVE E, CLEVELAND, OH 44115-2313
(216) 589-9447
(216) 589-9446
Mailing address
1873 PROSPECT AVE E, CLEVELAND, OH 44115-2313
(216) 589-9447
(216) 589-9446

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000000
N/A AT THIS TIME
OH
Enumeration date
01/22/2008
Last updated
01/23/2008
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